FFMS Competition Entry Form

ALL checks must be in blue or black ink.

 

Print and mail to your competition chairperson with audition recording, two copies if required and fees. Please send only checks or money orders with this entry form, payable to the Mid South Flute Society. Send this form to the Chair of your competition, not to the treasurer. Please read the rules for your competition carefully.

NAME:____________________________________________________

DATE OF BIRTH:____________________________________________

STREET:___________________________________________________

CITY________________________STATE______ZIP________________

HOME PHONE______________________________________________

CELL PHONE ______________________________________________

Email______________________________________________________

TEACHER__________________________________________________

SCHOOL_______________________________GRADE/YEAR________

_____Check here if you plan to use Mid-South Flute Society accompanist.

Name and composer of piece to be performed: (Not needed for Young Artist)

___________________________________________________________

Required for High School Soloists and Young Flutist Showcase entries only:

Teacher contact information:  Name_______________________________ 

Street____________________________

City__________________________ State________  ZIP______________

Phone___________________________  Email______________________

________________________
Teacher Signature

 

 

  

COMPETITION FEES 

Those entering two competitions may deduct $10.00 from the second entry (make note of this on both entry forms when you take this deduction)

 

Total Enclosed  _______                                               
 

I AGREE TO APPEAR AT FFMS AT MY OWN EXPENSE AND TO ACCEPT THE SELECTION OF THE JUDGING COMMITTEE AS FINAL.

 

________________________________
Signature

 

________________________________

Parent Signature (if under 18)

 

** Teachers who are not currently members of MSFS and need to join to submit a high school or younger student may do so by sending a $30 check to the treasurer. This includes admission to 2012 festival.  Teachers only, please send check written to Mid-South Flute Society in black or blue ink to: Marti Patchell, Treasurer, 1371 W. Crestwood Drive, Memphis, TN 38119