Concerto Competition Teacher Certification

I believe my student:

_______is capable of fulfilling all the requirements of the Annual Youth Concerto Competition,

_______has consulted the rules, and

_______has selected a piece from the official Repertoire List.

STUDENT: ______________________________________________

TEACHER: ______________________________________________

TEACHER ADDRESS:_____________________________________

CITY/STATE/ZIP: ________________________________________

PHONE NUMBER: _______________________________________

CELL PHONE: _______________________________________

TEACHER E-MAIL (checked daily):

_______________________________________

TEACHER SIGNATURE: __________________________________

DATE:__________________________________________________

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