Music Festival Piano Duet Entry Form

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Entry Fee: $20 per student. Make check payable to AMTA for the total amount.

Mail entry checks to: Elena Dorozhkina, 706 Holmes str., Apt. D, Atlanta, GA 30318

Teacher’s Name________________________________________________________________________

(YES or NO): Current AMTA Member, attended at least one AMTA meetings: no entry fee

(YES or NO):Current AMTA Member missed AMTA meetings: required to pay an entry fee $30

(YES or NO): Non-Member: $30 entry fee

Teacher’s Full

Address______________________________________________________________________________

Teacher’s Email________________________________________________________________________

Teacher’s Phone Number________________________________________________________________

Student’s Name________________________________________________________________________

Category

Length of Study________________________________________________________________________

Composition 1_________________________________________________________________________

Composer of Composition 1______________________________________________________________

Composition 2_________________________________________________________________________

Composer of Composition 2______________________________________________________________

Add Another Student ... Continue

Categories:

A - Less stringent evaluation for a first performing experience, or for students with special

needs.

B - Student of any age or level, performing standard repertoire.

C - Pre-performance opportunity for students preparing for auditions, recitals, or competitions.

This will be the strictest of the three categories.

D - Comments Only. Student will receive no rating or certificate in this category

I, the applicant (teacher, student), have read the Rules and Regulations for this event and am in full

compliance. As a teacher I have also discussed them with the participating student and the guardians,

and all understand that these rules are final.

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