SOLO & ENSEMBLE FESTIVAL APPLICATION FORM February 14th, 2015 Keene State College ___________________________ Category (ex. Soprano solo, brass quartet, etc.) Level/comments only _____________ (According to NYSSMA) School ______________________________ Music Director _______________________ Address _____________________________ school phone City/Town _________________ Zip ______ e-mail address _______________________ _______________________ Approximate distance from your school to host site: _____ miles. MUSICAL SELECTION (Selection must be from the NYSSMA, Wisconsin, Texas, New England, or Virginia Music Lists if playing for a rating.) Composer/Arranger _____________________________________________________________________ Title _________________________________________ Music List _____________________________ The performance WILL________/ WILL NOT________ be accompanied by piano. Accompanist _____________________________ Is this person accompanying in any other events? No _____ PLEASE LIST ALL EVENTS ___________________________________________________________ PARTICIPANTS Name Grade Instrument/Voice 1. ________________ _______ _________________ If participating in other events list other events. _____________________ 2. ________________ _______ _________________ _____________________ 3. ________________ _______ _________________ _____________________ 4. ________________ _______ _________________ _____________________ 5. ________________ _______ _________________ _____________________ (If the event has more than 5 participants, list additional names on another sheet.) SOLO & ENSEMBLE FEES: $15 per event ALL FEES ARE NON-REFUNDABLE Make check payable to: NHMEA-only one check per school. SEND PAYMENT WITH APPLICATIONS Director’s Signature _____________________ Date ___________ Principal’s Signature _____________________ Date ___________ The application must be POSTMARKED NO LATER THAN SATURDAY DECEMBER 13th, 2014. Applications postmarked after this date will be returned unopened. Send applications to Scott Thibodeau Three Rivers School 243 Academy Road Pembroke, NH 03275 Please inform parents of NHMEA’s festival release information below: Through completing and submitting this form to the New Hampshire Music Educators’ Association, parents hereby authorize and consent to the use of their child’s visual image by the New Hampshire Music Educators’ Association for appropriate purposes, including but not limited to: still photography, video recording, electronic and print publications, and websites. They understand that no identifying information, such as their child’s name or home address will be included with the visual image. They give this consent with no claim for payment. For the opt-out procedure please contact [email protected] by the due date of this form.