Naples Music Club
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Our vision is a musically connected community where individuals can fulfill their artistic dreams.
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Guide to Music Teachers and Area Music
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Performance Opportunities for Members
2012 Application For 42nd Annual Scholarship Competition
Application must be submitted electronically or postmarked by March 1, 2012. Fill in all applicable blanks.
Student Data
Last Name
(required)
First Name
(required)
Birthdate (MM/DD/YYYY)
(required)
Instrument/Voice
(required)
School
(required)
Grade
(required)
T Shirt Size
S
M
L
XL
XXL
Parent Data
First Name
(required)
Last Name
(required)
Spouse First Name
(required)
Street Address
(required)
City
(required)
Zip Code
(required)
Home Phone
(required)
Cell Phone
Email
(valid email required)
Teacher Data
First Name
(required)
Last Name
(required)
Street Address
City
Zip Code
Home Phone
(required)
Cell Phone
Email
(valid email required)
Total time of the 2 pieces to be performed may not exceed 10 minutes for Junior Division (grades 6-8) and 15 minutes for Senior Division (grades 9-12)
1. Works To Be Performed
Complete Title
(required)
Period
Baroque
Classical
Romantic
Modern
(required)
Full Name Of Composer
(required)
Min.
(required)
Sec.
(required)
2. Works To Be Performed
Complete Title
(required)
Period
Baroque
Classical
Romantic
Modern
(required)
Full Name Of Composer
(required)
Min.
(required)
Sec.
(required)
Accompanist Data (if Applicable)
First Name
Last Name
Home Phone
Cell Phone
Email
(valid email required)
Application Data
Please Check Each Of The Following Statements:
I have read ALL application materials, will abide by the rules, and understand the purpose of the competition.
My parent(s) approve(s) the use of my name, school, teacher name, award amount, and photos.
My teacher has approved my entry in this competition.
An entrance fee of $25 must be submitted. Make checks payable to Naples Music Club. Waivers for the $25 are possible. See rules and regulations.
Payments must be mailed to: Mrs. Jan Grundeman, Chairman, 2180 Rusty Fig Court, Naples, FL 34120, Phone: 239-353-2216, Email: jangmusic@comcast.net
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