2019 Annual Awards Competition Enrollment Form
Date: Saturday, April 20th, 2019
Location: St. Cecilia Music Center, Library Room (24 Ransom NE)

Entry Fee: $12.00

Enrollment Deadline: April 1, 2019. A single check totaling all accrued fees from each teacher, made payable to Piano Teachers’ Forum of Grand Rapids, should be mailed to the Annual Awards Competition Chair, Thea Hoekman (413 Mary Lane; Fremont, MI 49412). Payments may also be submitted at the March Forum meeting.

# of registrations
Teacher info is required for first entry only. For multiple entries, please proceed to Performer's info.
Your answer
Teacher FIRST then LAST Name *
As you would like it to appear in the program, Ex: Yelena Wells
Your answer
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
Amount $ to be mailed in
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: Yelena Wells)
Your answer
Grade *
Your answer
Age *
Your answer
Division *
Address *
Enter student's complete street address here
Your answer
City, State, Zip Code *
Enter complete mailing information here
Your answer
Student Phone *
(XXX) XXX-XXXX
Your answer
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