ACM YCM Competition Application

ACM YCM Competition Application
Competition Info
http://www.acmusicians.org/ycm-competition/

Deadline
Application and payment must be submitted or mailed by February 15, 2014.
Student Information
Student Name

First NameLast Name
E-mail
Birth Date

MonthDayYear
Phone Number

Area CodePhone Number
Cell Phone (opt)

Area CodePhone Number
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Parent Information
Parent/Guardian Name

First NameLast Name
Parent E-mail
Parent Phone Number

Area CodePhone Number
Parent Cell Phone (opt)

Area CodePhone Number
Permission to Apply
Permission to Photograph
Teacher Information
Teacher Name

First NameLast Name
Teacher Phone

Area CodePhone Number
Teacher Email
Teacher Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Teacher Church
Church Information
Student Church
Do you play your instrument at church?
Pastor/Leader Name
Pastor/Leader Phone

Area CodePhone Number
Pastor/Leader Email
Permission to Contact
Audition Performance Information
Type of Audition
Online Video Link
http://
Instrument
Years Played
Piece to be Played (specify movement)
Composer
Length in Minutes
Competition Performance Information
..
Competition Piece (specify movement)
Composer
Length in Minutes
Accompanist Name
_
Please select your payment option:
Payment Options
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Division 1 Application Fee - Pay Now$15.00

Division 2, 3, or 4 Application Fee - Pay Now$30.00

I will send a check before February 15.Free
If paying by check, please make payable to "ACM" and mail to:

Ron Bechtel
Young Church Musicians' Competition
620 S. Shirley St.
Tacoma, WA 98465

(253) 278-7595
ron.bechtel@acmusicians.org
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ACM YCM Competition Application

Student Information

Parent Information

Teacher Information

Church Information

Audition Performance Information

Competition Performance Information

Please select your payment option:

Payment Options*

Payment Options