entry form graphic

Please read the competition details BEFORE completing this form

PERSONAL DETAILS

SURNAME
FORENAME(S)
NATIONALITY
PERMANENT ADDRESS
TELEPHONE
E-MAIL
DATE OF BIRTH

MUSICAL EDUCATION

(complete as many as appropriate)

  DATES PLACE TEACHER
1
2
3
4
5
6
7

REFEREE DETAILS

Please supply name and address details of two referees. (The actual references must accompany the fee of £50, and the birth certificate copy - please see notes at the foot of this form).

  Name Address
REFEREE 1
REFEREE 2

PROPOSED PROGRAMME FOR PRELIMINARY ROUND

This programme should not exceed 30 minutes. The adjudicators may decide to hear only part of the proposed programme.

BACH WORK
SONATA
CONTEMPORARY
(own choice)

PROPOSED CONCERTO FOR THE FINAL

 

How did you hear about the competition?

This entry form should be completed and submitted no later than 1st May 2006. Receipt of your submission will be acknowledged, together with a request for the entrance fee of £50, a copy of your birth certificate and the two references.

Entries will not be processed until receipt of the fee, birth certificate copy and two references

Please make cheques payable to the Newport Pianoforte Competition. Although cheques are preferred, entrants may also pay their entry fee by bank transfer.

The details are: Newport Pianoforte Competition, Co-operative Bank, John Frost Square, Newport, South Wales. Sort Code 08 90 07. Account number 50143027