COPYRIGHT DECLARATION FORM

COPYRIGHT DECLARATION FORM
EISTEDDFODS | COMPETITIONS | EXAMINATIONS
Enquiries 1300 852 388 schools@apra.com.au www.apraamcos.com.au
Performer/Ensemble Name
Competition/Eisteddfod/Festival Name
Signatory's Name
Signature

Powered by Jotform SignClear
Date

MonthDayYear
Date
Please note that a parent/guardian/teacher may sign on behalf of performers aged 16 and under.

Please complete all applicable sections.
1. Performer's Declaration I certify that I will be performing (tick one):

From an original published edition of the sheet music;From a photocopy, transcription or arrangement of sheet music that is accompanied by a letter from the musicFrom sheet music where both the work and edition are out of copyright*; orBy ear.
2. Making a temporary copy for an adjudicator or examiner (tick only if applicable)

I certify that I have made a copy of the legal sheet music from which I will perform for use by an adjudicator
I acknowledge that this copy will not be returned to me and will be destroyed by the eisteddfod/competition organisers and I must delete any digital copy of this sheet music I have made.**
3. Making a temporary copy for an accompanist (tick only if applicable)

I certify that I have made a copy of the legal sheet music from which I will perform for the use of an accompanist
I acknowledge that this copy will be returned to me and I must destroy it immediately, and I must delete any digital copy of this sheet music I have made.**
4. Copies made by an auditioning body for BAND and ORCHESTRA only (tick only if applicable)

I certify that I am performing from copies made by an auditioning body for my use in this competition only.
I acknowledge that I must return these copies to the auditioning body at the end of this section and they will be destroyed by the eisteddfod/competition organisers.**
COPYRIGHT DECLARATION FORM
EISTEDDFODS | COMPETITIONS | EXAMINATIONS
Enquiries 1300 852 388 schools@apra.com.au www.apraamcos.com.au

Please include information on the works you will be performing.

	Work Title	Composer/Lyricist/Arranger	Publisher

Do not return this form to APRA AMCOS. It must be provided to the event organisers only.

* Composer/lyricist/arranger ALL died before 1955 and the edition publication date was more than 25 years ago.

** Any use of copies made under this declaration outside of the performance in this specific eisteddfod/competition/examination is deemed an infringement. All copies – both digital and hardcopy – must be destroyed.
Should be Empty:

COPYRIGHT DECLARATION FORM

EISTEDDFODS | COMPETITIONS | EXAMINATIONS

COPYRIGHT DECLARATION FORM

EISTEDDFODS | COMPETITIONS | EXAMINATIONS