Phyllis Triolo Competition Sign-Up

Sign-Up for the Phyllis Triolo Competition
Participant Information
Full Name*

First NameLast Name
Instrument*
Age*
School*
Grade*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
E-mail*
example@example.com
Accompanist name*
write NA if not applicable
Compositions

(total time no more than 12 minutes)
Composition 1
Title*
Composer*
Duration*
Composition 2
Title*
Composer*
Duration*
Payment
Music Teacher Name*
Check if my teacher is a CPMTA member here
My Products
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SCASD Student
$ Free



Non SCASD Student but music teacher is a CPMTA Member
$27.00



Non SCASD Student but music teacher is a not a CPMTA Member
$37.50



Total

$0.00
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Student Signature

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Payment Methods

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