Kempsey VISD Eisteddfod Solo / Duo / Trio / Quartet Entry Form
Please read the syllabus for all the rules and time limits that apply to various sections.
Please read before submitting
Please make sure you have read the syllabus on www.kempseyeisteddfod.org/visd If a section does not appear under a heading then your competitor is not eligible for that section based on the selected school stage. Refer to syllabus for the eligibility requirements
Parent/Guardian Details
Name
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First Name
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Competitor Details
Competitor Name
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First Name
Last Name
Date of Birth
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-
Day
-
Month
Year
Date
School
*
Address if different to address above
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
School Stage
*
Please Select
Early Stage 1 (Kindergarten incl. Pre-school)
Stage 1 ( Years 1 & 2 )
Stage 2 ( Years 3 & 4 )
Stage 3 ( Years 5 & 6 )
Stage 4 ( Years 7 & 8 )
Stage 5 (Years 9 & 10 )
Stage 6 (Years 11 & 12 )
Open Age ( 18 years+ )
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Vocal Solos
A copy of your own choice piece, clearly marked with your name and the section number, must be presented to the Office prior to your performance. Note: Music Accompaniment is best provided on a Memory Stick
Early Stage 1
M001 - Vocal Solo - Own Choice
M002 - Vocal Solo - Nursery Rhyme in Costume
M003 - Vocal Solo - Song in Costume (Movement and Dance Permitted)
Stage 1
M004 - Vocal Solo - Own Choice
M005 - Vocal Solo - Nursery Rhyme in Costume
M006 - Vocal Solo - Song in Costume (Movement and Dance Permitted)
Stage 2
M007 - Vocal Solo - Own Choice
M008 - Vocal Solo - Hymn
M009 - Vocal Solo - Song in Costume (Movement and Dance Permitted)
M034 - Vocal Solo - Vocal Self Accompanied
Stage 3
M010 - Vocal Solo - Own Choice
M011 - Vocal Solo - Hymn
M012 - Vocal Solo - Theme from Musical Theatre, Film or TV
M013 - Vocal Solo - Song in Costume (Movement and Dance Permitted)
M034 - Vocal Solo - Vocal Self Accompanied
Stage 4
M014 - Vocal Solo - Own Choice
M015 - Vocal Solo - Hymn
M016 - Vocal Solo - Theme from Musical Theatre, Film or TV
M017 - Vocal Solo - Song in Costume (Movement and Dance Permitted)
M035 - Vocal Solo - Vocal Self Accompanied
Stage 5
M018 - Vocal Solo - Own Choice
M019 - Vocal Solo - Hymn
M020 - Vocal Solo - Theme from Musical Theatre, Film or TV
M021 - Vocal Solo - Song in Costume (Movement and Dance Permitted)
M036 - Vocal Solo - Vocal Self Accompanied
Stage 6
M022 - Vocal Solo - Own Choice
M023 - Vocal Solo - Hymn
M024 - Vocal Solo - Theme from Musical Theatre, Film or TV
M0215- Vocal Solo - Song in Costume (Movement and Dance Permitted)
M037 - Vocal Solo - Vocal Self Accompanied
Open Age
M026 - Vocal Solo - Own Choice
M027 - Vocal Solo - Hymn
M028 - Vocal Solo - Theme from Musical Theatre, Film or TV
M029 - Vocal Solo - Popular Song
M027 - Vocal Solo - Vocal Self Accompanied
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Vocal Championships
▪ Championship competitors must compete in at least 2 other sections on their chosen song.▪ Time limits must be strictly adhered to. Failure to do so may lead to disqualification.▪ The programme must consist of 2 contrasting Songs of different genre and period, ownchoice but excluding popular, theme or jazz.
Vocal Championships
M053 - Junior Vocal Championship (Stages 1, 2, 3)
M054 - Senior Vocal Championship (Stage 4,5,6)
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Vocal Duets/Trio or Quartet
Please provide additional Competitors details below
Would you like to enter a duet/trio or quartet?
*
Yes
No
Competitor 2 - Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
School Stage
*
Please Select
Early Stage 1 (Kindergarten)
Stage 1 ( Years 1 & 2 )
Stage 2 ( Years 3 & 4 )
Stage 3 ( Years 5 & 6 )
Stage 4 ( Years 7 & 8 )
Stage 5 (Years 9 & 10 )
Stage 6 (Years 11 & 12 )
Open Age ( 18 years+ )
Do you have another competitor to add?
*
Competitor 3 - Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
School Stage
*
Please Select
Early Stage 1 (Kindergarten)
Stage 1 ( Years 1 & 2 )
Stage 2 ( Years 3 & 4 )
Stage 3 ( Years 5 & 6 )
Stage 4 ( Years 7 & 8 )
Stage 5 (Years 9 & 10 )
Stage 6 (Years 11 & 12 )
Open Age ( 18 years+ )
Do you have another competitor to add?
*
Competitor 4 - Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
School Stage
*
Please Select
Early Stage 1 (Kindergarten)
Stage 1 ( Years 1 & 2 )
Stage 2 ( Years 3 & 4 )
Stage 3 ( Years 5 & 6 )
Stage 4 ( Years 7 & 8 )
Stage 5 (Years 9 & 10 )
Stage 6 (Years 11 & 12 )
Open Age ( 18 years+ )
Duo/Trio/Quartet Sections
Stage 2 & 3
M030 - Vocalist and Accompanist
M038 - Vocal Duets, Trio or Quartet
Stage 4
M031 - Vocalist and Accompanist
M039 - Vocal Duets, Trio or Quartet
Stage 5
M032 - Vocalist and Accompanist
M040 - Vocal Duets, Trio or Quartet
Stage 6
M033 - Vocalist and Accompanist
M041 - Vocal Duets, Trio or Quartet
Open Age
M033 - Vocalist and Accompanist
M041 - Vocal Duets, Trio or Quartet
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Pianoforte/Instrumental Solos
Early Stage 1, Stage 1, 2 and 3 Time Limit - 3.00 minutes Stage 4,5,6 - Time limit 5.00 minutes
Early Stage - (Preschool and Kindergarten)
M055 - Instrumental Solo - Unaccompanied
M056 - Instrumental Solo – Accompanied
M057 - Instrumental Solo – Light Entertainment
M058 - Instrumental Solo – Nuvo Instrument
M059 - Pianoforte Solo - Own Choice
M060 - Pianoforte Solo - Classic or Baroque Period
M061 - Electronic Keyboard Solo – Own Choice
M144 - Novice Instrumental
M150 - Novice Pianoforte
Stage 1 (Years 1-2)
M062 - Instrumental Solo - Unaccompanied
M063 - Instrumental Solo - Accompanied
M064 - Instrumental Solo - Theme from stage, film, TV accompanied allowed.
M065 - Instrumental Solo - Jazz/Blues/Boogie/Light Entertainment
M066 - Instrumental Solo – Nuvo Instrument
M067 - Pianoforte Solo - Own Choice
M068 - Pianoforte Solo - Jazz/Blues/Boogie/Light Entertainment
M069 - Electronic Keyboard Solo – Own Choice
M144 - Novice Instrumental
M150 - Novice Pianoforte
Stage 2 (Years 3-4)
M070 Instrumental Solo - Unaccompanied
M071 Instrumental Solo - Accompanied
M072 Instrumental Solo - Theme from stage, film, TV accompanied allowed.
M073 Instrumental Solo - Jazz/Blues/Boogie/Light Entertainment
M074 Instrumental Solo – Nuvo Instrument
M075 Pianoforte Solo - Own Choice
M076 Pianoforte - Classic or Baroque Period
M077 Pianoforte - Jazz/Blues/Boogie/Light Entertainment
M078 Electronic Keyboard Solo – Own Choice
M145 - Novice Instrumental
M151 - Novice Pianoforte
Stage 3 (Years 5-6)
M079 Instrumental Solo - Unaccompanied
M080 Instrumental Solo - Accompanied
M081 Instrumental Solo- Theme from stage, film, TV accompanied allowed.
M082 Instrumental Solo – Jazz/Blues/Boogie/Light Entertainment
M083 Instrumental Solo – Nuvo Instrument
M084 Pianoforte Solo - Own Choice
M085 Pianoforte - Classic or Baroque Period
M086 Pianoforte - Light Entertainment
M087 Pianoforte - Jazz/Blues/Boogie/Ragtime
M088 Pianoforte - Romantic 20th & 21st Century
M089 Electronic Keyboard Solo – Own Choice
M145 - Novice Instrumental
M151 - Novice Pianoforte
Stage 4 (Years 7-8)
M091 Instrumental Solo - Unaccompanied
M092 Instrumental Solo - Accompanied
M093 Instrumental Solo - Theme from stage, film, TV accompanied allowed.
M094 Instrumental Solo - Jazz/Blues/Boogie/Ragtime
M095 Instrumental Solo – Light Entertainment
M096 Instrumental Solo – Nuvo Instrument
M097 Pianoforte Solo - Own Choice
M098 Pianoforte - Classic or Baroque Period
M099 Pianoforte - Light Entertainment
M100 Pianoforte - Jazz/Blues/Boogie/Ragtime
M101 Pianoforte - Romantic 20th & 21st Century
M102 Pianoforte - HSC Music programme work
M103 Electronic Keyboard Solo – Own Choice
M146 - Novice Instrumental
M152 - Novice Pianoforte
Stage 5 (Years 9-10)
M104 Instrumental Solo - Unaccompanied
M105 Instrumental Solo - Accompanied
M106 Instrumental Solo - Theme from stage, film, TV accompanied allowed.
M107 Instrumental Solo - Jazz/Blues/Boogie/Ragtime
M108 Instrumental Solo – Light Entertainment
M109 Instrumental Solo – Nuvo Instrument
M110 Pianoforte Solo - Own Choice
M111 Pianoforte - Classic or Baroque Period
M112 Pianoforte - Light Entertainment
M113 Pianoforte - Jazz/Blues/Boogie/Ragtime
M114 Pianoforte - Romantic 20th & 21st Century
M115 Pianoforte - HSC Music programme work
M116 Electronic Keyboard Solo – Own Choice
M147 - Novice Instrumental
M153 - Novice Pianoforte
Stage 6 (Years 11-12)
M117 Instrumental Solo - Unaccompanied
M118 Instrumental Solo - Accompanied
M119 Instrumental Solo - Theme from stage, film, TV accompanied allowed.
M120 Instrumental Solo - Jazz/Blues/Boogie/Ragtime
M121 Instrumental Solo – Light Entertainment
M122 Instrumental Solo – Nuvo Instrument
M123 Pianoforte Solo - Own Choice
M124 Pianoforte - Classical or Baroque Period
M125 Pianoforte - Light Entertainment
M126 Pianoforte - Jazz/Blues/Boogie/Ragtime
M127 Pianoforte - Romantic 20th & 21st Century
M128 Pianoforte - HSC Music programme work 5 mins
M129 Electronic Keyboard Solo – Own Choice
M148 - Novice Instrumental
M154 - Novice Pianoforte
Open Age
M130 Instrumental Solo - Unaccompanied
M131 Instrumental Solo - Accompanied
M132 Instrumental Solo - Theme from stage, film, TV accompanied allowed.
M133 Instrumental Solo - Jazz
M134 Instrumental Solo – Light Entertainment
M135 Instrumental Solo – Nuvo Instrument
M136 Pianoforte Solo - Own Choice
M137 Electronic Keyboard Solo – Own Choice
M149 - Novice Instrumental
M155 - Novice Pianoforte
Graded Piano Solo
M156 Preliminary Grade Pianoforte Solo 2 mins
M157 Grade 1 Pianoforte Solo 2 mins
M158 Grade 2 Pianoforte Solo 3 mins
M159 Grade 3 Pianoforte Solo 3 mins
M160 Grade 4 Pianoforte Solo 4 mins
M161 Grade 5 Pianoforte Solo 4 mins
Own Composition - The composition may be a collaborative work, but all composers/lyricists must be acknowledged. A notated score must be handed in. This may be handwritten, or computer generated. The composer must perform.
M179 Own Composition - Open Age
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Instrumental and Pianoforte Championships
Championship competitors must compete in at least 2 other sections on their choseninstrument. Time limits must be strictly adhered to. Failure to do so may lead to disqualification.The programme must consist of 2 contrasting pieces of different genre and period, own choicebut excluding popular, theme or jazz. Championships will only be awarded if: Three (3) or morecompetitors compete OR at the Adjudicators discretion.Both pieces must be performed on the same instrument. Repertoire must show knowledge ofthe genre. Credit given for choice and age appropriateness
Instrumental Championships
M180 Junior Instrumental Championship – Stage 1, 2, 3, - 6 mins
M181 Senior Instrumental Championship – Stage 4, 5, 6 - 10 mins
Pianoforte Championships
M182 Junior Pianoforte Championship – Stage 1, 2, 3 - 6 mins
M183 Senior Pianoforte Championship – Stage 4, 5, 6 - 10 mins
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Instrumental Duet, Trio
Would you like to enter a duet/trio?
*
Yes
No
Competitor 2 - Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
School Stage
*
Please Select
Early Stage 1 (Kindergarten)
Stage 1 ( Years 1 & 2 )
Stage 2 ( Years 3 & 4 )
Stage 3 ( Years 5 & 6 )
Stage 4 ( Years 7 & 8 )
Stage 5 (Years 9 & 10 )
Stage 6 (Years 11 & 12 )
Open Age ( 18 years+ )
Do you have another competitor to add?
*
Competitor 3 - Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
School Stage
Please Select
Early Stage 1 (Kindergarten)
Stage 1 ( Years 1 & 2 )
Stage 2 ( Years 3 & 4 )
Stage 3 ( Years 5 & 6 )
Stage 4 ( Years 7 & 8 )
Stage 5 (Years 9 & 10 )
Stage 6 (Years 11 & 12 )
Open Age ( 18 years+ )
Instrumental Duet, Trio
M138 School Early Stage 1 & Stage 1 - 3 mins
M139 School Stage 2 & 3 - 3 mins
M140 School Stages 4 - 5 mins
M141 School Stages 5 - 5 mins
M142 School Stages 6 - 5 mins
M143 Open Age over 18 years - 5 mins
Pianoforte Duets
M162 School Stages 2 & 3 - 3 minutes
M163 School Stage 4 - 3 minutes
M164 School Stage 5 - 3 minutes
M165 School Stage 6 - 3 minutes
M166 Open over 18 yrs - 5 minutes
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Speech and Drama
Please see page 15 of the syllabus at www.kempseyeisteddfod.org/visd for more information.
Early Stage 1 - 3 Minute Time Limit
S001 Verse/Nursery Rhythm own choice in Costume from Memory
S002 Set Verse “Little Wind” by Kate Greenaway
S003 Australian Bush Poem own choice from memory
S004 Prose Reading set piece “Zac the Rat” by Starfall Team
Stage 1 - 3 Minute Time Limit
S005 Poem own choice from memory
S006 Humorous/Satiric Verse own choice from memory
S007 Set Verse “A Baby Sardine” by Spike Milligan
S008 Solo Verse own choice from memory in Costume
S009 Australian Bush Poem own choice from memory
S010 Prose Reading set piece “One little Dinosaur”
S011 Mime Set Topic, (Black Clothing) “Catching Butterflies”
S012 Write and Read your own Composition
Stage 2 - see individual time limits
S013 Poem own choice from memory - 3mins
S014 Humorous/Satiric Verse own choice from memory - 3mins
S015 Set Verse “I Wish I Were a Superhero” by James McDonald - 3mins
S016 Solo Verse own choice from memory in Costume - 3 mins
S017 Australian Bush Poem own choice from memory - 3 mins
S018 Bible Reading set Piece “Psalm 23: 1 to 3” - 3 mins
S019 Prose Reading set piece “The Twits by Roald Dahl - 3mins
S020 Public Speaking Own Topic, prompt cards allowed - 5 mins
S021 Mime Set Topic, (Black Clothing) “Washing the Dog” - 3 mins
S022 Write and Read your own Composition - 3 mins
Stage 3 - see individual time limits
S023 Poem own choice from memory 3 mins
S024 Humorous/Satiric Verse own choice from memory 3 mins
S025 Set Verse “Sunning” by James S. Tippett 3 mins
S026 Solo Verse own choice from memory in Costume 3 mins
S028 Monologue extract from a play, poem (costume props optional) 5 mins
S029 Australian Bush Poem own choice from memory 3 mins
S030 Bible Reading set Piece “Timothy 4:11-16” 3 mins
S031 Prose Reading set piece “Unreal” by Paul Jennings 3 mins
S032 Public Speaking Own Topic, prompt cards allowed 5 mins
S033 Mime Set Topic (Black Clothing) “Setting up a Birthday Party” 3 mins
S034 Write and Read your own Composition 3 mins
Stage 4 - see individual time limits
S035 Poem own choice from memory 3 mins
S036 Humorous/Satiric Verse own choice from memory 3 mins
S037 Set Verse “The Arrow and the Song” by Henry Wadsworth Longfellow 3 mins
S038 Solo Verse own choice from memory in Costume 3 mins
S039 Australian Bush Poem own choice from memory 3 mins
S040 Bible Reading set Piece “Luke 9: 12 17” 3 mins
S041 Prose Reading set piece Demon Dentist by David Williams 3 mins
S042 Public Speaking Own Topic, prompt cards allowed 5 mins
S043 Mime Set Topic, (Black Clothing) “Learning to Drive a Car” 3 mins
S044 Write and Read your own Composition 3 mins
Stage 5, 6 and Open Age - see individual time limits
S045 Solo Verse own choice from memory Costume optional 3 mins
S046 Australian Bush Poem own choice from memory 3 mins
S047 Public Speaking Own Topic, prompt cards allowed 5 mins
S048 Bible Reading set Piece “GENESIS 1:1 – 18” 3 mins
S049 Mime Set Topic, (Black Clothing) “Buying Groceries” 3 mins
S050 HSC Monologue, own Choice 11mins
S051 Shakespearean Monologue Costume optional 5 mins
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Speech Championships
Two pieces own choice a verse (from memory) & a reading not previously performed by you at thisEisteddfod. To qualify competitors must have competed in a verse section AND a reading section priorto the Championship.
Speech Championships
S068 Junior Speech Champion Stages 1, 2 & 3 Max 8 mins
S069 Senior Speech Champion Stages 4, 5, 6 and Open Age Max 8 mins
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Speech and Drama Duos
Please fill out duo partner details below. See syllabus for rules.
Would you like to enter a duo?
Yes
No
Competitor 2 - Name
*
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
School Stage
*
Please Select
Early Stage 1 (Kindergarten)
Stage 1 ( Years 1 & 2 )
Stage 2 ( Years 3 & 4 )
Stage 3 ( Years 5 & 6 )
Stage 4 ( Years 7 & 8 )
Stage 5 (Years 9 & 10 )
Stage 6 (Years 11 & 12 )
Open Age ( 18 years+ )
Recital for two - see syllabus for rules
S053 Early Stage 1 max 3mins
S054 Stage 1 max 3mins
S055 Stage 2 max 3mins
S056 Stage 3 max 3mins
S057 Stage 4 max 5mins
Poem for two - see syllabus for rules
S070 Early Stage 1 max 3mins
S071 Stage 1 max 3mins
S072 Stage 2 max 3mins
S073 Stage 3 max 3mins
S074 Stage 4 max 5mins
Shakespearean Duologue Costume optional
S052 Stages 5, 6 and Open Age - max 5 mins
Stage 3 Duologue extract from a play, poem(costume props optional)
S027 Stage 3 Duologue extract from a play, poem (costume prop optional) 5 mins
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Sponsorship
Would you like to support Kempsey VISD Eisteddfod? An official tax receipt will be issued for any sponsorship received within 7 business days to your email address on this form. If you have any questions please email kempseyeisteddfod@hotmail.com For businesses wishing to sponsor the Eisteddfod please see www.kempseyeisteddfod.org/sponsorship.
Would you like to the support the Kempsey VISD Eisteddfod?
*
Yes
No
How much would you like to sponsor
*
$1.00
$2.00
$5.00
$10.00
$20.00
$50.00
$100.00
$150.00
$250.00
$500.00
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Administration Charge
Solo/Duo/Trio/Quartet Entry Fees (including $5 administration fee)
Solo/Duo/Trio/Quartet Entry Fees (including $5 administration fee for insurances, copyright and administration expenses plus 2.2% for transaction processing fees)
By entering this Eisteddfod I agree that
*
I have read and understood the rules listed in the syllabus on the Kempsey Eisteddfod website at www.kempseyeisteddfod.org/visd
I understand non-adherence to the rules outlined in the syllabus and in the code of conduct may result in disqualification from the Eisteddfod
By participating in the Kempsey Eisteddfod, you agree to allow the Kempsey Eisteddfod Society to use and publish photos or videos taken during events. Images will not include full names or personal information without consent. If you do not consent to the use of your images, inform the President in writing before the event.
If the competitor is under 18 years of age, the parent or guardian accepts these Terms and Conditions on the Participant’s behalf
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