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Piano Solo Registration
6th Intercontinental Music Competition
First Round
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)
Birth Date (MM/DD/YYYY) *
Current/Former Piano Instructor *
Years of Piano Study *
Level Entered for Piano Solo Category *
Round 1 Repertoire List - Music of Immortal Composer(s)
Composer of Title 1 *
Title 1 *
Composer of Title 2
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
$135
(Round One)
All Donations Will Assist
Our Cause Of Promoting
Music Of Living Composers
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