FSMTA Senior String Competition Application
Contestant's Name:
*
First Name
Last Name
Date of Birth:
*
Phone:
*
E-mail:
*
Parent's email address if Pre-College applicant
Instrument:
*
Permanent Mailing Address:
*
Street Address
Street Address Line 2
City
State / Province
Zip Code
Name of High School:
*
Current year of study:
*
Teacher's Name:
*
First Name
Last Name
Phone:
*
E-mail:
*
Mailing Address:
*
Street Address
Street Address Line 2
City
State / Province
Zip Code
Is teacher a member of FSMTA?
*
Yes
No
MTNA Membership # (if applicable)
Repertoire:
Composer, Title, and Performance time—do not estimate
Composer
*
Title
*
Performance Time
*
Composer
*
Title
*
Performance Time
*
Composer
Title
Performance Time
Composer
Title
Performance Time
Composer
Title
Performance Time
Accompanist's name (if applicable):
Contestant's digital signature
*
Parent's digital signature
(if contestant is under 18 years of age)
Type a digital signature below to give permission to use your video for evaluation purposes:
Contestant's (or Parent's) digital signature
*
(if contestant is under 18 years of age)
Type a digital signature below to give permission for your photo and bio submitted to a Florida State Music Teachers sponsored event to be used on the official FSMTA web-site and/or in the official FSMTA Newsletter. (FSMTA acknowledges the contestant’s right to not submit a photo. If Photo Permission remains unsigned, FSMTA will not require a photo to be sent.)
Contestant's (or Parent's) digital signature
(if contestant is under 18 years of age)
Submit
Print Form
Should be Empty: