Lions of Virginia James Bland Music Scholarship Foundation

Lions of Virginia James Bland Music Scholarship Foundation
REGISTRATION FORM FOR VOCALIST OR INSTRUMENTALIST

Please enter me in the competition to be held on Sunday February 22, 2:00-4:00 PM at The Lyceum, 201 South Washington St, Alexandria VA 22314
Name*

First NameLast Name
Name of Parent or Guardian*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Age*
Grade*
School*
Email*
example@example.com
Type of Instrument
Type of Voice
Composition*
Composer*
Accompanist
Accompanist Phone Number
Please enter a valid phone number.
Accompanist Email
example@example.com
Music Teacher*
Music Teacher Phone Number
Please enter a valid phone number.
Music Teacher Email
example@example.com
YesNo
I have read and I accept the rules and regulations of the competition:*

Clear
Signature Date

MonthDayYear
Date
Before you SUBMIT, check all spelling for accuracy and carefully review your entries. We will cut and paste from the application for the final program.
Should be Empty:

REGISTRATION FORM FOR VOCALIST OR INSTRUMENTALIST