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2019 NEOMTA Fall Music Festival Registration Form
Application due date is October 10th, 2019.

Please complete one form per student.
Email address *
Teacher's Name *
Your answer
Teacher is a member of NEOMTA *
Please note: In order to receive the member discount, the teacher must be a member of NEOMTA by the registration deadline of October 10th, 2019.
Teacher's Email *
Your answer
Teacher's Phone # *
Your answer
Student's Name *
Your answer
Parent/Student's Email *
Your answer
Parent/Student's Phone *
Your answer
Student's Age *
(As of 9/1/2019)
Your answer
Student's Instrument *
Your answer
Preference for Recital Time *
Please select all that apply. Requests will be honored on a first come, first served basis.
Required
Reason for Request *
If there is no preference, please enter N/A
Your answer
Performance Format *
Student's Class *
Performance #1 Title *
Your answer
Performance #1 Composer *
Your answer
Performance #2 Title
Your answer
Performance #2 Composer
Your answer
Total Performance Length *
Please note maximum allotted time: 3 minutes for Elementary, 5 minutes for Intermediate, 8 minutes for Advanced
Your answer
Acknowledgement - REQUIRED *
By checking this box, I (parent/guardian) give permission to Cleveland State University and Baldwin-Wallace College to have access to my mail and email addresses for the purpose of informing me of programming at their institutions. I also agree to abide by the Festival rules and regulations as stated on the NEOMTA website.
Required
Acknowledgement #2- REQUIRED *
By checking this box, I (parent/guardian) acknowledge I have paid or will pay the correct fee for the Fall Festival by the registration deadline of October 10th, 2019.
Required
A copy of your responses will be emailed to the address you provided.
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