2015 QMEA MUSIC FESTIVAL APPLICATION FORM May 8, 9 and 10, 2015 - McGill University Music Faculty PERSONAL INFORMATION LAST NAME: _______________________________________ FIRST NAME: ________________________________________________ PHONE: (_______) ________________________________ E-MAIL: ________________________________________________________ * It is VERY important to submit a valid e-mail address as all communications will be done by e-mail. AGE (as of May 1st, 2015) 4 6 5 7 8 9  10  11  12  13 CATEGORY Instrument : ____________________________________________________________  Solo  Junior Ensemble  Classical Voice  Concerto  Senior Ensemble  Broadway  14  15  16  17  18 and over  Canadian Music Please take note that there will be no “Concerto” categories for strings 12 and under. Complete a form for every category and remember to include the ½ price fee for each additional entry. REPERTOIRE 1. TITLE: _________________________________________ COMPOSER: ______________________________ LENGTH: __________ 2. TITLE: _________________________________________ COMPOSER: ______________________________ LENGTH: __________ 3. TITLE: _________________________________________ COMPOSER: ______________________________ LENGTH: __________ * If the program includes more than three selections, please provide the information on a separate sheet. TEACHER INFORMATION LAST NAME: _______________________________________ FIRST NAME: ________________________________________________ PHONE: (_______) __________________________________ E-MAIL: ______________________________________________________ Application Deadline: Friday, April 17th, 2015 Cheques are to be made out to “Quebec Music Educators' Association”. PLEASE SEND FESTIVAL REGISTRATION FORM AND FEES TO QMEA Music Festival – Yazan Charif 3717 Avenue Dupuis, App15, Montreal, Quebec, H3T1E5 I give permission to the QMEA to take and use pictures in which my child (or I, if 18 and over) is present. ________________________________________ Signature