2020 AKTA/AMTA Adjudications Form Adjudicator: Jennifer Merry
Please return this completed form no later than October 23, 2020. Any late forms will not be processed.
Submission of videos deadline is November 13, 2020
Email address *
Instructor's First & Last Name *
Phone Number: *
Do you receive text messages at this number? *
How many students are you registering and at what level? If you have no students at that a level you are required to enter none. Scroll right to enter more than 7 students. *
1 Student
2 Students
3 Students
4 Students
5 Students
6 Students
7 Students
8 Students
9 Students
10 Students
11 Students
12 Students
13 Students
14 Students
15 or more Students
Early Elementary through Elementary $20
Late Elementary through Intermediate $30
Late Intermediate through Advanced $40
I am interested in having a 15 minute teacher conference with the adjudicator. The date and time will be agreed upon by the adjudicator and the teacher. The meeting can be via phone or video chat. The fee is $20
Clear selection
I understand that once I submit this form, I will receive further instructions on submission of the videos and other required documents. *
I understand my registration form is not complete until payment is paid in full. You will receive a PayPal invoice by the event coordinator after this form is submitted. *
Any special requests or concerns?
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