APPLICATION FORM - GLORY Int'l Piano Competition
Tel: +44 7458 609104
Email: glory@glory.world
Web: www.glory.world
Email address *
Applicant's Name *
Please do not use abbreviations, alias or ALL CAPS.
Address
City *
Postal Code (ZIP Code)
Country of Residence *
Place of Birth (Country) *
Date of Birth *
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Gender
Clear selection
Age Group *
Repertoire:
Name of the Piece & Composer *
Web Link to Your Video *
About (contestant's short biography)
Photo Instructions
I am aware that I have to send my portrait photo by email to complete the application process. | We accept JPEG and PNG files only. | Image file size: we accept image files up to 1.5 MB | Image file name: Applicant's Name. | Do not submit more than 1 photo. Please send your photo to our email address: glory@glory.world
Portrait Photo *
Teacher's Name *
Teacher's Email Address *
Proof of Payment (PayPal Transaction ID or Receipt No) *
You'll find the Transaction ID within the "Receipt of Payment" email you will receive from PayPal.
Date of Payment *
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Payer's Name
if different from the applicant's name
Payer's Email Address
if different from the applicant's email address
Parent/Guardian's Name
If the Applicant is under 18 years of age. In such case the parent or guardian must submit this Application Form on behalf of the Applicant.
Parent/Guardian's Email Address
if the Applicant is under 18 years of age.
Date of Application *
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DD
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YYYY
Do you agree to take part in the judging process as a member of "The Students Jury Board"? *
The Audience Awards
Are you thrilled to share the link to the voting page that you'll receive with your friends, relatives and social contacts? *
Comments
Applicant's Consent or Parent/Guardian's Consent *
By checking the box below (1) I confirm that I've read and understand the Competition Rules, (2) I agree to abide by all Rules, Procedures/Instructions of the Competition, (3) I understand and agree that incomplete Application and/or failure to comply with any of the Rules/Procedures/Instructions, and/or non-payment of the Application Fee, and/or submitting this Application Form after the deadline, and/or any cheat attempt, may result in my disqualification without notice, (4) I understand and agree that the Application Fee is non-refundable, (5) I understand and agree that all decisions made by the judges are final and may not be appealed, (6) I certify that the information given on this Application Form is correct, (7) I acknowledge that I am not relying upon any representation, warranty, condition, agreement or understanding, written or oral, except as specified herein or elsewhere on the GLORY International Music Competition's website http://www.glory.world, (8) I warrant and represent that I have the right to submit this Application Form, no consent or approval of a third party is required, and I am not subject to any contract, commitment, agreement, arrangement or restriction of any kind which would prevent me from doing so. The checking of the box below shall be binding to the same extent as an original signature.
Required
A copy of your responses will be emailed to the address you provided.
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