CSN Piano Concerto Entry Form

Fine Arts Department Music Program
CSN Ninth Piano Concerto Competition
March 29, 2008 Competition Auditions
May 18, 2008 Award Ceremony & Winners' Concert

Entry Form

PLEASE PRINT OR TYPE:

Name of Piano Student__________________________________________________________

Mailing Address_______________________________________ City_____________________

State_________ Zip Code__________________ Social Security #________________________

Telephone: Area Code________ Number____________________________________________

Date of Birth___________________________ Place of Birth ___________________________

Grade in School (Circle one): K 1 2 3 4 5 6 7 8 9 10 11 12 College

Division (Circle one): Junior Intermediate Senior

Competition Repertoire:

CONCERTO________________________________________________________

COMPOSER________________________________________________________

FEE ENCLOSED $________ (Make checks payable to Board of Regents)
FEE ENCLOSED $ ($50.00)

Student's signature_________________________ Teacher's signature____________________________

Send this form to: CSN 3200 East Cheyenne Ave. J1A, North Las Vegas, Nevada 89030-4296
To the attention of: Damaris Alvarez

Register only one competitor on each entry form
Entries should be received no later than March 05, 2008

Please see
Piano Concerto Competition Page
for regulations and other information