ENTRY FORM 2010

Enter Online here

Make cheque payable to: The Kiwanis Music Festival of London Inc.
Print this Entry Form and mail with cheque or M.O. to:
The Kiwanis Music Festival of London Inc.
P.O. Box 50008, London, ON N6A 6H8.
Entries must be received by SATURDAY, DEC. 5, 2009, 5:00 p.m.
DEADLINE for LOIS MARSHALL VOCAL COMPETITION - JAN. 15, 2010

COMPLETE ONE ENTRY FORM FOR EACH CLASS ENTERED and KEEP A COPY FOR YOUR RECORDS.
Festival Programs may be ordered at a cost of $5.00 each.

Class No.	1st Name		Last Name:	School & Board
Class Name: (For Example - Female Vocal Solo - 12 yrs & U. - General OR Piano Solo - 16 yrs & U. - Romantic)
Address No:	Street:		City:	Postal Code:
Phone:	Other:		Birth Date:	Age:
Your E-Mail Address
Teacher: (check one) Private OR School First Name: Last Name:			Address: Phone: email:
Music Gr.	Number of Performers		Accompanist Name:
Own Choice Selections (Performance time in minutes required)
Title		Composer			Time (MINUTES)
1.
2.
3.
Duets, Trios, Quartets & Quintets (Please list performers in the space provided).
Surname	First Name		Instrument	Age
1.
2.
3.
4.
5.

Please List All Other Classes Entered To Help Us Avoid Conflicts

Class No.	Class No.	Class No.	Class No.
Class No.	Class No.	Class No.	Class No.
Class No.	Class No.	Class No.	Class No.
Class changes will not be permitted. It is the responsibility of the Competitor, Parent and Teacher to read ALL RULES and enter the correct class, by number.
I have read the Rules and Regulations. I certify that all conditions will be complied with in respect to this entry. Competitor Signature:_________________________________ Parent Signature: ____________________________________ Teacher Signature:___________________________________
Please refer all questions regarding completion of this form to the Music Festival Secretary at: Tel: 519- 432-5183 Fax: 519-432-9885 OR Email: cvcleland@rogers.com		Entry Fee:	$
		Festival Program 2009 @ $5.00:	$
		Donation:	$
		Total:	$