Kiwanis Festival Music & Speech Arts Entry Form

ENTRIES DUE JANUARY 19, 2010

ENTRANT'S NAME
ADDRESS
CITY		POSTAL CODE
ENTRANT'S PHONE		AGE ON DEC.31/09
E-MAIL

TEACHER'S NAME
ADDRESS
CITY		POSTAL CODE
TEACHER'S PHONE
E-MAIL

CLASS NUMBER	CLASS DESCRIPTION	DURATION (MINUTES)	NUMBER IN GROUP	FEE








NUMBER OF PROGRAMS REQUESTED
COST OF PROGRAMS (ADD $10 PER PROGRAM)

PLEASE MAIL PROGRAM(S) TO MY ADDRESS or MY TEACHER'S ADDRESS

TOTAL FEES & PROGRAM COSTS

Teachers with ten entries or more will receive a spring program free of charge.

Note: Groups (duets, trios, quartets) should complete one form and pay one fee. Please list names of individuals in your group below.
NAMES OF DUET, TRIO, QUARTET ETC.	CITY	AGE ON DEC.31/09








Check the tentative schedule in the Syllabus and indicate potential scheduling conflicts you might have between Monday April 12th and Friday April 30, 2010 (example: other Music Festivals).
Potential scheduling conflicts.
Please complete, print and sign the form. Then mail it, along with your cheque or money order for the total fee, to the Festival office: Kiwanis Festival of the Performing Arts, Box 844, Stratford ON N5A 6W3. I understand that personal information on this entry form will be used for Festival purposes only. I have read the rules set out in the Syllabus and agree to comply with them.
DATE
SIGNATURE (entrant if 18, teacher or parent)

The Kiwanis Festival of the Performing Arts, Stratford welcomes all performers. If anything in the rules or class structure prevents you from participating, please let us know and we will try to accommodate your needs.

LATE ENTRIES jeopardize the schedule. That is why entries postmarked after January 18th, 2010 will be assessed a late-entry fee of $10 per class entered.