Form Test – East Valley Music Teachers Association

Registration

Fields marked with an asterisk (*) are required.

Teacher Info

First Name*

Last Name*

Email*

Phone Number*

There is a $15 registration fee per student or $40 cap per family.

Number of Students Registering*

Total Registration Amt You Will Pay*

Note: There is a maximum performance time of 7 minutes per performer

Student Info

Name*

Age*

Time Preference (not guaranteed)

Number of pieces being performed*

Name of Piece*

Composer*

Length*

Piece #1

Name of Piece*

Composer*

Length*

Piece #2

Name of Piece*

Composer*

Length*

Piece #1

Name of Piece*

Composer*

Length*

Piece #2

Name of Piece*

Composer*

Length*

Piece #3

Name of Piece*

Composer*

Length*

Acknowledgements

Have all students you are registering for this event signed the Media Authorization and Release form.*

List the students who chose not to sign the Media Authorization and Release form:

Click here to acknowledge you have read all of the Teacher/Student Responsibility guidelines. Please notify/share this information with your students and parents.

Summary

Please check the information below. You will be emailed a copy of this registration information as well. If everything looks correct, press "Submit Registration" below.

After clicking on Submit, you will be taken to the Registration Payment site to pay for your registration.

Summary