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MTAC REGISTRATION
Event Registration
Event
*
Please select an option
EVENT 1 $25 [Send to piano@davidorr.net]
EVENT 2 $30 [Send to pianistmargaret@gmail.com]
Confirm Event
*
I confirm the selected event is the correct event I wish to register for.
Teacher First & Last Name
Teacher Email Address
*
Phone
*
Teacher Participation
*
Please select an option
I will be able to attend the event and help.
I will not be able to attend or help prior to the event. (+$5 per student; $50 maximum)
How many Students are you Registering?
*
Total Fee:
Total Fee Paid:
Student #1
Student Name
*
Age
Instrument
*
0 / 25
Title of Piece
*
(key, opus, movement, tempo)
Composer
*
0 / 150
Duration
*
0 / 20
Student Level
*
0 / 20
Time Request
0 / 25
Repertoire Length
Exceeds 5 Minutes?
Student #2
Student Name, Age, Instrument, and (optional) time request #2
Title of Piece (key, opus, movement, tempo), Composer, Time, and Level
0 / 150
Student #3
Student Name, Age, Instrument, and (optional) time request #3
Title of Piece
(key, opus, movement, tempo)
0 / 150
Student #4
Student Name, Age, Instrument, and (optional) time request #4
Title of Piece
(key, opus, movement, tempo)
0 / 150
Student #5
Student Name, Age, Instrument, and (optional) time request #5
Title of Piece (key, opus, movement, tempo), Composer, Time, and Level
0 / 150
Total Fee:
Total Fee Paid:
Payment & Submission
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