Piano Competition Application

Parent's Prefix *

Parent's Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Phone *

Student's Name *

First

Last

School *

Grade *

Birthday *

Teacher *

Teacher's Email *

Teacher's Phone

Work #1 Title *

A prelude and fugue from either volume of the Well Tempered Clavier by J.S. Bach, or two other comparable pieces from the Baroque Period

Work #1 Composer *

Work #1 Timing *

Work #2 Title *

The first movement of a sonata by Beethoven (excluding Op. 49), Mozart (excluding K 545), Haydn (excluding early Divertimenti), or Schubert

Work #2 Composer *

Work #2 Timing *

Work #3 Title *

A substantial work from the Romantic Period

Work #3 Composer *

Work #3 Timing *

Work #4 Title *

An impressionist work or a work from the 20th or 21st century

Work #4 Composer *

Work #4 Timing *

Application Fee *

Price: $ 35.00

Credit Card *

Card Number

Security Code

Name on Card

Expiration/

Stubbs-Henbest-Davis High School Piano Competition