COURSE FORM

Complete form below for the Course(s) you want to participate in. A Course Fee is required per course. Pay Course Fees after submitting form at the bottom of the page.

Applicant ID #

Applicant Name*

Telephone*

Applicant E-mail

Select Course*
I will participate in Course A only
I will participate in Course B only
I will participate in both Course A and Course B

Select Section*
SECTION A: Developmental Disability (epilepsy, autism, cerebral palsy and other disorders)
SECTION B: Motility Impaired
SECTION C. Blind or Low Vision
SECTION D. Deaf
Programs
COURSE A COMPETITION
ROUND ONE (PRELIMINARY)
Recording Materials Submitted for Course A
Video
DVD
Repertoire of your choice (20 minute maximum)
#1 - Composer - Music Selection - Time
#2 - Composer - Music Selection - Time
#3 - Composer - Music Selection - Time
ROUND TWO (PERFORMANCE IN VANCOUVER)
Required:Theme Vive le Canadianne
Title

COURSE B COMPETITION
ROUND ONE (PRELIMINARY)
Recording Materials Submitted for Course B
Video
DVD
Please enter the Composer, Music and Time for your selection. In course B, applicant may perform more than one work within time frame.

#1 - Composer - Music Selection - Time
#2 - Composer - Music Selection - Time
#3 - Composer - Music Selection - Time
ROUND TWO (PERFORMANCE IN VANCOUVER)
Free Selection Tune
Title


Course(s) are $150 each. Please select course(s) you wish to make payment for:
Select Course

Please make all checks, corporate matches or other gifts payable to:

New Heritage Theatre Group
253 West 138th Street
New York, NY 10030
Ref: 2nd International Piano Festival

Pay by Wire Transfer
Copyright 2008 GLOBALBMC