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Piano Duet Registration
(One Piano, Four Hands)
Second Round
5th 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 2 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 2)
Round 2 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 Two)
All Donations Will Assist
Our Cause Of Promoting
Music Of Living Composers
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