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Piano Duet Registration

(One Piano, Four Hands)

First Round

6th Intercontinental Music Competition

Birth Date (MM/DD/YYYY) *

Current/Former Piano Instructor *

Years of Piano Study *

Contestant's Full Name (Last, First, Middle) *

Parent/Guardian Full Name (If applicable)

Gender (M/F) *

ID Number or Passport *

Home Address *

Address Line 2

City *

State/Province *

Zip/Postal Code *

Country *

Email *

Home Phone

Cell Phone *

Website (Optional)

Level Entered for Piano Duet Category *

Round 1 Repertoire List - Music of Immortal or Living Composer(s)

Composer of Title 1 * 

Composer of Title 2

Title 1 * 

Title 2

Title 1 Duration (mm:ss) * 

Title 2 Duration (mm:ss)

Submit Your Video Through YouTube or Dropbox (Only for Round 1)

Round 1 Video *

If there is more than one video, please separate URL links by semicolon.
Please Submit
Your Application
Please Pay Application Fee
$80 per player
(Round One)
All Donations Will Assist 
Our Cause Of Promoting
Music Of Living Composers
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