Student Recitals 2019 Enrollment Form
Date: Saturday, February 23, 2019
Location: Puritan Reformed Theological Seminary Chapel, 2965 Leonard St. NE
Enrollment fee: $7 per solo; $4 per student in an ensemble

Enrollment forms and payment due: February 8, 2019 Mail payment to: Lyn Hoeksema 2154 Edgewood SE, Grand Rapids, MI 49546 or bring to February meeting. Please send only one check payable to Piano Teachers' Forum of Grand Rapids.
Please complete one form for each student entered.

Note: Solo pieces must be played from memory. Original form, not arrangements, please.

Teacher FIRST then LAST Name *
As you would like it to appear in the program, Ex: Jeanne Hanley
Your answer
# of registrations *
Teacher info is required for first entry only. For multiple entries, please proceed to Performer's info.
Your answer
Amount $ to be mailed in *
Teacher info is required for first entry only. For multiple entries, please proceed to Performer's info.
Your answer
Teacher Work Requirements *
Volunteers are needed for this event. If you are available , please indicate your time preference.
Email *
Enter teacher's email here (Teacher info is required for first entry only. For multiple entries, please proceed to Performer's info.)
Your answer
Address
Enter teacher's complete street address here (Teacher info is required for first entry only. For multiple entries, please proceed to Performer's info.)
Your answer
City, State, and Zip Code
Enter complete mailing information here (Teacher info is required for first entry only. For multiple entries, please proceed to Performer's info.)
Your answer
Teacher Phone Number *
(XXX) XXX-XXXX (Teacher info is required for first entry only. For multiple entries, please proceed to Performer's info.)
Your answer
Performer FIRST then LAST name *
Please note to enter FIRST then LAST name (Ex: Jeanne Hanley)
Your answer
Age *
Your answer
Title *
Your answer
Movt *
Your answer
Key
What key is THIS movement in?
Your answer
Opus
Your answer
No.
Your answer
K.
Your answer
HOB XVI/
Your answer
SAT level of piece *
Include SAT level here
Your answer
Composer *
LAST name only
Your answer
Length (minutes) *
Please use decimals here (One minute and 30 seconds = 1.5)
Your answer
Sibling(s) with whom this student must be scheduled
Please enter LAST then FIRST names here (Ex: Hanley, Jeanne and John)
Your answer
Time request
Check only if absolutely needed
Comments
Please include comments or concerns here
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service