Dr. Andor and Joy Kiszely Recital Auditions Registration Form 2023

INSTRUCTION: For an ensemble, list all the students on one form. To enter multiple students playing solo repertoire, please submit a separate form for each student.

Registration for (check one):

Solo
Concerto
Ensemble

Audition Repertoire:

Check guidelines on the PhMTA website. Note the following time limits: Intermediate solos, 5 minutes, Advanced solos, 8 minutes, Concertos and ensembles: 12 minutes.

Composer (first and last name)

Name of composition (Include Opus number, tempo or name of movement.)

Playing time (Example: 4:30) - please be as precise as possible.

Student Information:

First Name

Last Name

Age ( as of 2/11/2024)

Instrument

Parents Name

Parents Email

Phone Number

Accompanist's name

If in an ensemble, please list all members of the ensemble

Registration Status

Solo
If the student is performing by themselves
$75.00 ea.
Add
Ensemble
If the student is performing as part of an ensemble
$45.00 ea.
Add
Non-Member of MTNA and PhMTA fee
If a teacher is not a member of both MTNA and PhMTA, they will need to pay this non-member fee. SELECT ONLY ONCE. Do not need to add it for every student you register.
$75.00 ea.
Add
Non-Member of PhMTA (but member of MTNA)
If a teacher is a member of MTNA, but not a member of PhMTA, they will need to pay this non-member fee.
SELECT ONLY ONCE. Do not need to add it for every student you register.
$25.00 ea.
Add

Total

$0.00

Teacher Information

Member PhMTA?

Teacher Name

Teacher Email

Teacher Phone

Teacher Address

Almost done. Where should we send the confirmation?

Name

Mobile Phone Number

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