2021 Broomfield Piano Festival Student Registration Form
The student entry fee is $30 to be paid to your teacher. All fees must be received by Amy Lee (from your teacher) no later than January 30, 2021.
Email address *
Rules, page 1
Rules, page 2
Rules, page 3
Rules, page 4
We (parent and student) have read and do agree to abide by all the rules for the 2021 Broomfield Piano Festival: *
Student First Name: *
Student Last Name: *
Student School: *
Student School Grade: *
Division Entering: *
Student - Participant Type: *
Parent First Name: *
Parent Last Name: *
Parent Email Address: *
Parent Phone Number: *
Street Address: *
City: *
Zip Code: *
Teacher Name: *
Repertoire Selection #1 - Title: *
Repertoire Selection #1 - Composer: *
Repertoire Selection #1 - Time Period: *
Repertoire Selection #2 - Title: *
Repertoire Selection #2 - Composer: *
Repertoire Selection #2 - Time Period: *
Repertoire Selection #3 - Title:
Repertoire Selection #3 - Composer:
Repertoire Selection #3 - Time Period:
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