Dorothy Sutton Performance Festival Forms

Student Information

Student Name*

Age (as of 10/04/2023):*

Telephone Number:*

Grade in School:*

Length of Study:*

Instrument:*

List any siblings participating in Fall Festival:

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

Repertoire

Check guidelines in the PhMTA website. Please include Op. No, tempo or name of movement. Total playing time MUST BE PRECISE! Note: Students using copied music without permission or who have “no music” will automatically be disqualified!

1. Composer (first and last name)/ Name of Composition / Play Time*

2. Composer (first and last name)/ Name of Composition / Play Time

Early Request (to be determined):*

Yes
No

Requested Time/Change:*

Theory Test Level:*

P
1
2
3
4
5
6
7
8

Registration Status

Solo
If the student is performing by themselves
$40.00 ea.
Add
Ensemble
$30.00 ea.
Add
Late Registration
$45.00 ea.
Add
Teacher Substitution Fees
$100.00 ea.
Add
Teacher Not Present Fee
If you are a teacher who cannot attend the event, please select this fee to be paid.
$100.00 ea.
Add

Total

$0.00

Teacher Information

Teacher Name*

Teacher Email*

Teachers Address*

Teacher Phone*

All teachers entering students are expected to assist on the day of the auditions or provide an adult substitute.

I will be available for:*

Monitoring
Theory Test
Other

Substitute: Name / Phone / Email*

Almost done. Where should we send the confirmation?

Name*

Email*

Mobile Phone Number*

Event Registration Software by RegFox