Region Solo and Ensemble Entry Form
Student First Name *
Your answer
Student Middle Initial *
Your answer
Student Last Name *
Your answer
Student Street Address *
Your answer
City, Zip *
Your answer
PML UIL ID # *
Your answer
Title *
Your answer
Movements being performed *
Your answer
Composer/Arranger *
Your answer
Accompaniment *
Accompanist Name (Only complete this if you are providing your own accompaniment)
Your answer
Ensemble Members (Only complete if you are performing with an ensemble, and only 1 member of the group needs to complete this form)
Your answer
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