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Digital Keyboard Orchestra Entry Form
Deadline: May 1

Use the tab key or mouse to move between answer fields. Using the Enter key will submit your form.
Submit one form per student. You will be able to return to the form to enter additional students using the link on the `thank you` page.
Student Information
Name
Is this student participating in Ensemble or Performance?
Address
City
State
Zip Code
Phone Number
Email (parent`s or student`s)
School Grade
*Day I will arrive at convention
Earliest time available on arrival day
*Day I will leave convention
Planned departure time
Teacher Information
Name
NCTM
Address
City
State
Zip Code
Phone Number
Confirmation will be emailed to the address provided below.
*EmailValid email is required
*Association
Current Level of Study
Current Reading Level
 
Current Pieces
Please list two current pieces and their composers below. If these are from a method book, please list the series, level and book.
 
Other Convention Activities and Their Scheduled Times (if known)
If you are listing ensemble and your performance/rehearsal time are not yet known, please include the title of ensemble piece.
Performance Contest
Contest
Ensemble
Title of Ensemble Piece
Dress Rehearsal Time
Lab Rehearsal Time
Performance Time
All Star Festival
June Leondar Contest
Contest Category
Name of Group
Chamber Music Clinic
Name of Chamber Group
Original Composition Recital
List any other convention activities not included above
Additional Instructions
Submit this completed form for each entrant. You will receive an e-mail with a confirmation attached each time.
Payment must be made by the deadline using the Convention Student Activities Payment Form. Fees may be paid by check or credit card.

You may include all of your students participating in any of the convention activities in one payment form. You do NOT need to mail in copies of student entry form confirmations.
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