Name of the group:

Main Competitor's Name (how your name will appear in the programme)
First name(s) and family name:

Main Competitor’s Gender: Male Female

Main Competitor’s Email Address: Confirm email address:

Main Competitor’s Home Phone:

Main Competitor’s Mobile Phone:

Main Competitor’s Address(Post Address):

Teacher's Name:

Teacher's Mobile and/or Home Phone:

Teacher's Email Address:

Main Competitor's Date of Birth:    

Choose your Competition Class: --------- 38__CHAMBER__Class 38 Chamber Music Age 18&Under__age-to18__fee35+15pp

Choose number of co-performers: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100

Co-performer's first name and family name: Age: Co-performer’s Email Address: Co-performer’s Phone: Co-performer’s Instrument:

Verification Code:

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