Title of performance piece (1)*

Composer 1 *

Title of performance piece (2) *

Composer 2 *

Title of optional performance piece (3)

Composer 3

Number of participants*

Class Period (ie 2A, 6B...)

Contact Email *

Contact Phone ONLY if changed from last year or new teacher

Scheduling Requests when possible, ie time, adjudication only (no competition)...