2015 qmea music festival application form

2015 QMEA MUSIC FESTIVAL APPLICATION FORM
May 8, 9 and 10, 2015 - McGill University Music Faculty
PERSONAL INFORMATION
LAST NAME: _______________________________________ FIRST NAME: ________________________________________________
PHONE: (_______) ________________________________ E-MAIL: ________________________________________________________
* It is VERY important to submit a valid e-mail address as all communications will be done by e-mail.
AGE (as of May 1st, 2015)
4
6
5
7
8
9
 10
 11
 12
 13
CATEGORY
Instrument : ____________________________________________________________
 Solo
 Junior Ensemble
 Classical Voice
 Concerto
 Senior Ensemble
 Broadway
 14
 15
 16
 17
 18 and over
 Canadian Music
Please take note that there will be no “Concerto” categories for strings 12 and under.
Complete a form for every category and remember to include the ½ price fee for each additional entry.
REPERTOIRE
1. TITLE: _________________________________________ COMPOSER: ______________________________ LENGTH: __________
2. TITLE: _________________________________________ COMPOSER: ______________________________ LENGTH: __________
3. TITLE: _________________________________________ COMPOSER: ______________________________ LENGTH: __________
* If the program includes more than three selections, please provide the information on a separate sheet.
TEACHER INFORMATION
LAST NAME: _______________________________________ FIRST NAME: ________________________________________________
PHONE: (_______) __________________________________ E-MAIL: ______________________________________________________
Application Deadline: Friday, April 17th, 2015
Cheques are to be made out to “Quebec Music Educators' Association”.
PLEASE SEND FESTIVAL REGISTRATION FORM AND FEES TO
QMEA Music Festival – Yazan Charif
3717 Avenue Dupuis, App15, Montreal, Quebec, H3T1E5
I give permission to the QMEA to take and use pictures in which
my child (or I, if 18 and over) is present.
________________________________________
Signature