Name of Group*

Contact Email

Grade Level *
BeginnerIntermediateAdvanced

Number of chairs needed *


Class Meeting Time

Contact Name (First Last)

Contact Phone Number

Check here if desiring Adjudication only
(no competition)

Special Request (no gurantees)

Title of selection to be performed (1)*

Length (mins) *

Composer *

Title of selection to be performed (2) *

Length (mins) *

Composer *

Title of selection to be performed (3) *

Length (mins) *

Composer *

Scheduling Requests (No guarantees)

Registration Fee $75 HS