Be sure to consult note below and the other instructions.
NAME: ______________________________________ AGE: ______
ADDRESS: _______________________________________________
CITY: ________________________________ COUNTY: __________
ZIP: ____________ PHONE: ____________________________
PARENT'S NAME: ________________________________________
E-MAIL (checked daily): ________________________________________
If you are online, please select from this list before printing:
In any case, please consult the repertoire carefully and
provide the following,
including specific composition and movement:
____________________________, _____________________________
INSTRUMENT & REPERTOIRE LIST NUMBER (eg Piano 6), COMPOSER
COMPOSITION & MOVEMENT: __________________________________
DURATION OF PIECE: ________
SCHOOL: ____________________________________ GRADE: ___
SCHOOL ADDRESS: _______________________________________
CITY/STATE/ZIP: __________________________________________
HOMETOWN NEWSPAPER: _________________________________
ADDRESS: ________________________________________________
CITY/STATE/ZIP: __________________________________________
The following must be received via US Mail addressed to Susan Stinson, 170 Harding Pl., Syracuse, NY 13205 and postmarked on or before December 1, 2009: