Friday 16th March – Saturday 24th March 2012
Closing date for entries: Wednesday 18th January 2012
Please complete all fields marked with an *
Person to whom correspondence should be addressed:
Please indicate *
Name *
Address *
Address
City *
Postcode *
Telephone *
Mobile
Email *
Name of teacher
Telephone
Class no *
Class name
Class fee (£)
* After class no indicates this class eligible for official accompanist
The Thelma King Award. If entering one of the following classes S6, S8, S15, W5, W14 please indicate if you wish to be considered for this award - Yes No
Classes where accompanist is offered:
Please indicate whether you wish to use the official accompanist - Yes No
Advanced, Repertoire & Concerto classes, official accompanist by arrangement - Yes No
or name of own accompanist
If a group, name of conductor
no. in group
Name of entrant(s) * Include all names in duets & trios
Date of Birth If they are under 21
Instrument
Special Needs
PLEASE USE A SEPARATE FORM FOR EACH ENTRY
Title *
Composer/Arranger *
Publisher
Duration (mins)
I have read and agree to abide by the General Rules and Music Rules contained in the current syllabus. *
I have read and understood the Child Protection Policy *
Total payment required (£) (Class fee plus any accompanist fee)
Payment may be made electronically quoting ref MRSWX2012 and name or by cheque.
Bacs
Cheque
Bacs Clearing Bank Number 60-02-05. Account Number 59342072.
Cheques should be made payable to Mid-Somerset Festival and sent to Sue West, 2 Sydney Wharf, Bath BA2 4EF within 5 working days
Entries will not be processed until fees are received.
Confirmation of receipt will be sent via email.
