FFMS Competition
Entry Form
ALL checks
must be in blue or black ink.
Print and mail to your competition chairperson
with audition recording and fees. Please send only checks or money orders with
your competition recording, payable to the Mid South Flute Society.
NAME:___________________________________________
DATE OF
BIRTH:_________________
STREET:_________________________________________________
CITY________________________STATE______ZIP_______________
PHONE____________________________________FAX____________________
Email____________________________________________________
TEACHER___________________________________________________________
SCHOOL_______________________________GRADE/YEAR_________
COMPETITION
FEES
All competition
fees include $10.00 for membership in the Mid-South Flute Society, and
registration for the festival. Those entering two competitions may deduct
the $10.00 membership/registration fee from the second entry.
Young Artist
Competition, nonrefundable $40.00_______
College
Masterclass Competition, nonrefundable
25.00_______
High School
Soloist Competition, nonrefundable 25.00 _______
Jr. High &
Under Masterclass Competition, nonrefundable 25.00_______
Total
Enclosed
_______
I AGREE TO APPEAR AT FFMS AT MY OWN
EXPENSE AND TO ACCEPT THE SELECTION OF THE JUDGING COMMITTEE AS FINAL.
SIGNATURE______________________________________________Date________________
I give permission
for ___________________________________________ (Competitor) to appear at the
FFMS, and to provide an appropriate chaperon if he/she is selected to perform.
(Required only
for competitors under 18 years of age as of March 10, any year)
SIGNATURE__________________________________________________________
(Parent/Guardian)
PLEASE
INCLUDE SHORT BIOGRAPHICAL SKETCH FOR PROGRAM, IF SELECTED. MASTERCLASS
COMPETITION SHOULD INCLUDE YEAR IN SCHOOL, NAME OF TEACHER(S), AND SCHOOL.
ACCOMPANIST: check one of the following
DEADLINES: