KIWANIS MUSIC FESTIVAL OF LONDON (Festival 2023)
ENTRIES CLOSE FRIDAY, JANUARY 13, 2023 AT 11:59 PM.             
          If using this form, it must be scanned and returned by email to the Festival Secretary at
secretary@kiwanismusicfestivallondon.com


Class Number

 

 

Competitor:  1st Name

Last Name:

Class Name: (for example)  – Vocal, Female, 12 yrs & U, Sacred;  OR  Piano, 16 yrs & U, Romantic;  OR Violin, open etc. etc.

 

Address No.

 

 

Street

City

Postal Code

Your E-Mail

 

Phone

 

 

Other Phone

Birth Date

Age

TEACHER: (Check one) Private  €   School  €

First Name_________________________________

 

Last Name _________________________________

Address

_________________________________________________

 

Postal Code________________  Phone_______________

 

Email  ___________________________________________

Competitor's

Level/Grade:

Number of Performers

Accompanist Name:

Own Choice Selections                                         (Performance time in minutes for scheduling)

Title

Composer

Minutes

1.

 

 

2.

 

 

Duets, Trios, Quartets & Quintets (Please list performers in the space provided.)

Surname

First Name

Instrument

Date of Birth

1.

 

 

 

2.

 

 

 

3.

 

 

 

4.

 

 

 

5.

 

 

 

Class changes will not be permitted. It is the responsibility of the Competitor, Parent and Teacher to read ALL RULES
and to enter the correct class number/s.

Reminder to all participants, parents and teachers that all suggestions, complaints or protests concerning the Festival must be directed in writing to "THE BOARD".  Decisions of the adjudicators are final.  I hereby certify, having read the rules and regulations for 2023, that this entry complies with all conditions.

N.B. Privacy Legislation requires a signature in the area below.

 

Type Parent/Guardian Name:

____________________________________________

By submitting this entry to the Kiwanis Music Festival of London, I acknowledge and agree to the following:

I give permission for my child’s name
_______________________________________________
and school to be included on the Kiwanis Music Festival website and performance program.


Parent’s Signature/Guardian
_______________________________________________

I do NOT give permission for my child’s name
_______________________________________________
and school to be included on the Kiwanis Music Festival website and performance program.


Parent’s Signature/Guardian
_______________________________________________

 

 Entry Fee

$

Donation

$

Total Enclosed

$

Paying by:  (Mark with an X)

E-Transfer

____

Cheque

____

Please indicate with an X on the line that you prefer that your child be identified by number and not by name. 
                                                       

                                                              _______________________________________________                        

Please refer any questions regarding completion of this form to the Festival Administrator or email

secretary@kiwanismusicfestivallondon.com

Tel. 519-432-5183

 

Payment methods if using this form:

  1. By cheque to Kiwanis Music Festival of London P.O. Box 50008, London, ON  N6A 6H8.
  2. By e-transfer to secretary@kiwanismusicfestivallondon.com.  Send second email to same address with answer to your question.

Refer to the following link on the Kiwanis Music Festival Website: www.kiwanismusicfestivallondon.com