California Association of Professional Music Teachers District VIII-Orange County Chapter
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CAPMT Orange County Piano Etudes Competition Application Form
Please read
CAPMT Orange County Piano Etudes Competition Rules and Guidelines
carefully before filling out the form.
Media Consent Form:
Students 17 & under
,
Adult Student
Please submit application form online & send application fee to:
Dr. Andrea Garreffa (Attn: Piano Etudes Competition), 28 Barneburg, Dove Canyon, CA 92679
Check payable to: CAPMT OC
*
Indicates required field
Name
*
First
Last
Email
*
Parent Name (if minor)
*
First
Last
Parent Email (if minor)
*
Phone Number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Birthday (month/day/year)
*
Category & Application Fee
*
A. Age 8 & under: $30
B. Age 9-10: $30
C. Age 11-12: $35
D. Age 13-15: $35
E. Age 16-18: $40
F. Age 19-25: $40
Age as of date of competition.
Teacher Membership
*
Member CAPMT OC Chapter: + $0
Member CAPMT, but not OC Chapter: + $10
Not CAPMT member: + $20
Teacher Name
*
First
Last
Teacher Email
*
Repertoire (Title & Composer)
*
Duration (mm:ss)
*
Additional Repertoire (Title & Composer)
*
Additional Repertoire (Title & Composer)
*
Proof of Age Upload File
*
Max file size: 20MB
Please attach proof of age: government issued ID, passport or birth certificate.
Duration (mm:ss)
*
Duration (mm:ss)
*
Media Consensent Upload File
*
Max file size: 20MB
Please upload the signed media consent form (see above for the downloadable form).
I have read & agree to the 2018 CAPMT Orange County Piano Etudes Competition Rules.
*
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