Competitor Information Form
Please fill out ONE competitor Information form, PLUS the relevant number of Solo Entry forms
Entry deadline is January 22, 2024
Name of Performer to appear in Program
*
First Name
Last Name
Year of birth
*
Age (as of Dec. 31, 2023)
*
Is this your first year entering a District Festival?
*
Yes
No
Is this your first year of musical instruction?
*
Yes
No
Are you a former music student of Victoria Malden?
*
Yes
No
Entrant is Indigenous or a Newcomer to Canada in the past five years
*
Yes
No
Media Permission: I give permission to the Melfort Music Festival Association and local media sources to publish articles/photos/videos with the name of my child (this includes all forms of social media).
*
Yes
No
Parent/Guardian
*
First Name
Last Name
Personal Email
*
example@example.com
Phone Number
*
Address
*
Mailing Address/Box number
*
City/Town
*
Postal Code
Teacher Information
Teacher Name
*
First Name
Last Name
Teacher Email
*
example@example.com
Teacher Phone Number
*
Please enter a valid phone number.
Teacher #2 Information (if applicable)
Teacher #2 Name
First Name
Last Name
Teacher #2 Email
example@example.com
Teacher #2 Phone Number
Please enter a valid phone number.
Other required information
Total of Solo Entry Fees
*
1 solo = $15
2 solos = $30
3 solos = $45
4 solos = $60
5 solos = $75
6 solos = $90
7 solos = $105
8 solos = $120
9 solos = $135
10 solos = $150
Preferred Payment Method
*
e-Transfer (payable to: melfortmfa@gmail.com)
Cheque (payable to: Melfort Music Festival Association/MMFA at Box 825, Melfort SK, S0E 1A0)
Cash
If needed, I am willing to be contacted to help the festival committee with small jobs.
Yes
No thank you
I understand that the program schedule will be free online, however I would like to pre-order a copy of the program to purchase.
*
0
1 @ $6
2 @ $12
3 @ $18
4 @ $24
Name of person submitting form
*
First Name
Last Name
Electronic Signature
*
In accordance with The Electronic Information and Documents Act, 2000, I acknowledge that my electronic signature has the same effect as my personal signature.
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