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Young Composer
Award Registration

 5th Intercontinental
Music Competition

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 Young Composers Award Category 

Original Composition(s) for Young Composer Award

Composer of Title 1 *

Composer of Title 2

Title 1 *

Title 2

Title 1 Duration * 


Title 2 Duration (mm:ss)

Submit Your Video Through YouTube (private or unlisted) or Dropbox 

Original Composition Video *

If there is more than one video, please separate URL links by semicolon.

Please Submit
Your Application
Please Pay Application Fee
$120 per applicant
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All Donations Will Assist 
Our Cause Of Promoting
Music Of Living Composers
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