Distinguished Artist Competition Registration Form
Student’s Name__________________________Age________
Student’s Name__________________________Age________
Teacher’s Name_____________________________________
Teacher’s Phone # ___________________________________
Teacher’s Email_____________________________________
Repertoire: composer, title, opus, key, duration in minutes
Baroque_____________________________________________________________
Classical_____________________________________________________________
Romantic/Impressionistic_________________________________________________
Modern______________________________________________________________
Fee: $45 / student
One check / teacher
Payable to Shore Music Educators Association
Send to: Lisa Perkins
22 Crest Drive
Little Silver NJ 07739