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Piano
Ensemble

    

59th PMTA PIANO ENSEMBLE

Online Registration
 Registration Deadline: October 31st
Registration Fee: $15.00 per student
 

Teacher Information
Teacher's Name:
Phone:
Address:
Zip:
Total # of students:
Email Address:
What job are you willing to do at this event?


I have a signed copy of the Piano Ensemble Student Information Form for each registered student.

Teacher Initials:

Please fill out all applicable information below.  List the part that each student is playing. If you are registering a student without a partner, please do not begin the piece. The chairperson will call you to assign a part when a partner is selected. Please make note of all students who are members of the same family so they will be placed in the same concert.

Student/Partner 1 Information
Student Name:
Age as of 9/10
:

Grade as of 9/10
:
Group/Title Selection:
Part preferred::
Years participating including 2011

:
   
Partner Name:
Age as of 9/10
:

Grade as of 9/10
:
Group/Title Selection:
Part preferred::
Years participating including 2011

:


If you are finished entering students, click here to be taken to the "Submit" button. If you have more students to enter, please continue to next box.
 
Student/Partner 2 Information
Student Name:
Age as of 9/10
:

Grade as of 9/10
:
Group/Title Selection:
Part preferred::
Years participating including 2011

:
   
Partner Name:
Age as of 9/10
:

Grade as of 9/10
:
Group/Title Selection:
Part preferred::
Years participating including 2011


:


If you are finished entering students, click here to be taken to the "Submit" button. If you have more students to enter, please continue to next box.
 
Student/Partner 3 Information
Student Name:
Age as of 9/10

:

Grade as of 9/10

:
Group/Title Selection:
Part preferred::
Years participating including 2011


:
   
Partner Name:
Age as of 9/10

:

Grade as of 9/10

:
Group/Title Selection:
Part preferred::
Years participating including 2011


:


If you are finished entering students, click here to be taken to the "Submit" button. If you have more students to enter, please continue to next box.
 
Student/Partner 4 Information
Student Name:
Age as of 9/10

:

Grade as of 9/10

:
Group/Title Selection:
Part preferred::
Years participating including 2011


:
   
Partner Name:
Age as of 9/10

:

Grade as of 9/10

:
Group/Title Selection:
Part preferred::
Years participating including 2011


:


If you are finished entering students, click here to be taken to the "Submit" button. If you have more students to enter, please continue to next box.
 
Student/Partner 5 Information
Student Name:
Age as of 9/10

:

Grade as of 9/10

:
Group/Title Selection:
Part preferred::
Years participating including 2011


:
   
Partner Name:
Age as of 9/10

:

Grade as of 9/10

:
Group/Title Selection:
Part preferred::
Years participating including 2011


:


If you are finished entering students, click here to be taken to the "Submit" button. If you have more students to enter, please continue to next box.
 
Student/Partner 6 Information
Student Name:
Age as of 9/10

:

Grade as of 9/10

:
Group/Title Selection:
Part preferred::
Years participating including 2011


:
   
Partner Name:
Age as of 9/10

:

Grade as of 9/10

:
Group/Title Selection:
Part preferred::
Years participating including 2011


:


If you are finished entering students, click here to be taken to the "Submit" button. If you have more students to enter, please continue to next box.
 
Student/Partner 7 Information
Student Name:
Age as of 9/10

:

Grade as of 9/10

:
Group/Title Selection:
Part preferred::
Years participating including 2011


:
   
Partner Name:
Age as of 9/10

:

Grade as of 9/10

:
Group/Title Selection:
Part preferred::
Years participating including 2011


:


If you are finished entering students, click here to be taken to the "Submit" button. If you have more students to enter, please continue to next box.
 
Student/Partner 8 Information
Student Name:
Age as of 9/10

:

Grade as of 9/10

:
Group/Title Selection:
Part preferred::
Years participating including 2011


:
   
Partner Name:
Age as of 9/10

:

Grade as of 9/10

:
Group/Title Selection:
Part preferred::
Years participating including 2011


:


If you are finished entering students, click here to be taken to the "Submit" button. If you have more students to enter, please continue to next box.
 
Student/Partner 9 Information
Student Name:
Age as of 9/10

:

Grade as of 9/10

:
Group/Title Selection:
Part preferred::
Years participating including 2011


:
   
Partner Name:
Age as of 9/10

:

Grade as of 9/10

:
Group/Title Selection:
Part preferred::
Years participating including 2011


:


If you are finished entering students, click here to be taken to the "Submit" button. If you have more students to enter, please continue to next box.
 
Student/Partner 10 Information
Student Name:
Age as of 9/10

:

Grade as of 9/10

:
Group/Title Selection:
Part preferred::
Years participating including 2011


:
   
Partner Name:
Age as of 9/10

:

Grade as of 9/10

:
Group/Title Selection:
Part preferred::
Years participating including 2011


:


If you have additional students to enter, please click "submit" and continue to the next page.  On the next page, click "Return to Form to Add Additional Students" to return to this page and complete the above form again. Repeat this process as many times as needed to enter all students. After you have submitted information for all students, please proceed to the payment page.
 

Please click "Submit" to continue