Entry Form for Vocal

Saturday 17th March - Saturday 24th March 2012.

Closing date for entries: Wednesday 18th January 2012

Please complete all fields marked with an *

Contact Details

Person to whom correspondence should be addressed:

Please indicate *

Name *

Address *

Address

City *

Postcode *

Telephone *

Mobile

Email *

Name of teacher

Telephone

Entry

Class no *

Class name

Class fee (£)

If a group, no. in group

 

Name of entrant(s) *
Include all names in duets & trios

Date of Birth
If they are under 21

Special
Needs

PLEASE USE A SEPARATE FORM FOR EACH ENTRY

Accompanists

Classes where accompanist is offered:

Please indicate whether you wish to use the official accompanist - Yes No

Or name of own accompanist

Work(s) to be performed

Title *

Composer/Arrange *

Publisher

Duration (mins)

Agreement

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 *

Payment

Total payment required (£) (Class fee plus any accompanist fee)

Payment may be made electronically quoting ref MUS2012 and name or by cheque.

Please indicate *

Bacs

Cheque

Bacs Clearing Bank Number 60-02-05. Account Number 59342072.

Cheques should be made payable to Mid-Somerset Festival and sent to to Janet Read, 137 Church Rd, Combe Down, Bath, BA2 5JL within 5 working days

Entries will not be processed until fees are received.

Confirmation of receipt will be sent via email.