Great Lakes Music Scholarship Competition

PLEASE NOTE: Upon completing this form, you will be directed to the payment page. Please have your credit/debit card in hand.

Contestant's Information

First Name

Last Name

Phone Number

Gender

Date of Birth (MM/DD/YYYY):

Age

Grade

Graduation Year

Contestant's Address

Street Address

Address Line 2

City

State / Province / Region

Zip / Postal Code

Country

Are you coming to GLMF with a school/church group?

YesNo

If yes, what is your group's expected arrival time on Friday?

Teacher's Information

First Name

Last Name

Instrument

First Selection Title

Include Opus and Movement

First Selection Composer

Include Opus and Movement

First Selection Performance Length

Second Selection Title

(Romantic, Impressionistic, or 20th Century) Include Opus and Movement

Second Selection Composer

(Romantic, Impressionistic, or 20th Century) Include Opus and Movement

Second Selection Performance Length

Third Selection Title (if needed to fill the time)

(Romantic, Impressionistic, or 20th Century) Include Opus and Movement

Third Selection Composer

(Romantic, Impressionistic, or 20th Century) Include Opus and Movement

Third Selection Performance Length

Image release permission

I give my permission to use photo and video images of my child in Maranatha publications. If I have an extenuating circumstance, I will e-mail an explanation and picture to music@mbu.edu so she can communicate with the photographer.

PAYMENT

Your registration will not be processed until you have made an online competition fee payment of $20. After submitting this form, you will be directed to a payment page.