Entry form

(Please fill in clearly and in block capitals)

Surname: 
First name: 
Date of Birth: 
Place of Birth: 
Nationality: 
Address: 
Telephone:  Fax: 
E-Mail: 

Programme
ComposerFull title of the opus
(if applicable movement)		KeyOpus or
other
Catalogues		Length
1.     
2.     
3.     
4.     
5.     
6.     
7.     

I accept the terms and conditions and the decisions of the jury:
Place and date: 
Signature of the participant and if applicable of a parent/guardian: