Showcase Registration Form

NAME OF TEACHER____________________________________________________

TEACHER’S EMAIL_____________________________________________________

TEACHER’S PHONE NUMBER_____________________________________________

STUDENT’S NAME_______________________________________________AGE____

REPERTOIRE:

INCLUDE COMPOSER, TITLE, OPUS, KEY, TIMING

1_____________________________________________________________________________________________________________

2_____________________________________________________________________________________________________________

STUDENT’S NAME_______________________________________________AGE____

REPERTOIRE

1_____________________________________________________________________________________________________________

2_____________________________________________________________________________________________________________

STUDENT’S NAME_______________________________________________AGE____

REPERTOIRE

1_____________________________________________________________________________________________________________

2_____________________________________________________________________________________________________________

STUDENT’S NAME_______________________________________________AGE____

REPERTOIRE

1_____________________________________________________________________________________________________________

2_____________________________________________________________________________________________________________

STUDENT’S NAME_______________________________________________AGE____

REPERTOIRE

1_____________________________________________________________________________________________________________

2_____________________________________________________________________________________________________________

FEE: $35 per solo entry; $45 per ensemble

One check per teacher, payable to SMEA; parents’ checks will not be accepted

SEND TO:

Paul Sallee
c/o Music University
3585 Rt.9
Freehold NJ 07728