2022 Entry Form - Youth Division One student may enter up to 5 music categories on this entry form.Siblings must be entered on separate forms. SCHEDULING AND NOTIFICATIONS • All entrants will receive their schedule no later than Saturday, October 8, 2022. • Primary communication will be via email. • Upon completion of this form, you will receive 2 email confirmations: Registration Confirmation + Payment Confirmation. IF YOU DO NOT RECEIVE THESE EMAILS, YOU ARE NOT REGISTERED. Please check your JUNK/SPAM folders before contacting the SPC. • ALL SCHEDULING & EVENT INFORMATION & REMINDERS WILL BE SENT VIA EMAIL. • All entrants will be notified prior to scheduling if there are any changes.• There are NO REFUNDS after scheduling has occurred.Student, Parent & Teacher InformationStudent Name(Required) First Last Grade in School:(Required)Please enter a number from 1 to 5.Birthdate:(Required) MM slash DD slash YYYY Parent Name(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Parent Mobile Phone:(Required)Student Mobile Phone (if applicable):Parent Email(Required) Student Email (if applicable) Teacher InformationTeacher Name(Required) First Last Teacher Mobile Phone(Required)Teacher Email(Required) Select the Number of Music CategoriesYouth Solo - $40Youth Ensemble - $50Music CategoriesStudents are welcome to enter into each of the 5 music categories. If you are entering 2 or more pieces within the SAME music category, the composer must be from the same music era. Please separate the titles and composers with a semi-colon or slash. Music must fit within the time limits of the age division or you may purchase ONE additional 5 minute time block. Extra time blocks may NOT be applied to other music categories the student is entering.Only one Score Card per music category will be issued no matter how many pieces are performed. You may add more entries at another time, but all entries must be finalized before the deadline of Sunday, September 25.Music Categories - Please Select All You Are Entering(Required) Youth Baroque/Classical Youth Romantic Youth Impressionist/Modern Youth Non-Competitive Youth Ensemble Youth Baroque/ClassicalBaroque/Classical Music Title(Required) Baroque/Classical Music Composer(Required) Youth Baroque/Classical Performance Time Limit: 5 minutes(Required)Do You Wish to Purchase an Additional 5 minutes of Performance Time for $15?NOYESPerformance Time Minutes (No Additional Time Purchased)(Required)11.522.533.544.55Performance Time with Additional 5 Minute Purchase(Required)5.566.577.588.599.510Youth RomanticRomantic Title(Required) Romantic Composer(Required) Youth Romantic Performance Time Limit: 5 Minutes(Required)Do You Wish to Purchase an Additional 5 minutes of Performance Time for $15?NOYESPerformance Time Minutes (No Additional Time Purchased)(Required)11.522.533.544.55Performance Time with Additional 5 Minute Purchase(Required)5.566.577.588.599.510Youth Impressionist/ModernImpressionist/Modern Music Title(Required) Impressionist/Modern Composer(Required) Youth Impressionist/Modern Performance Time Limit: 5 Minutes(Required)Do You Wish to Purchase an Additional 5 minutes of Performance Time for $15?NOYESPerformance Time Minutes (No Additional Time Purchased)(Required)11.522.533.544.55Performance Time with Additional 5 Minute Purchase(Required)5.566.577.588.599.510Youth Non-CompetitiveNon-Competitive Music Title Non-Competitive Composer Youth Non-Competitive Performance Time Limit: 5 Minutes(Required)Do You Wish to Purchase an Additional 5 minutes of Performance Time for $15?NOYESPerformance Time Minutes (No Additional Time Purchased)(Required)11.522.533.544.55Performance Time with Additional 5 Minute Purchase(Required)5.566.577.588.599.510Youth EnsembleEach Ensemble only enters ONCE. This student entry will be designated Ensemble Primary Contact. Names/Ages of other participating students will be entered below.Type of Ensemble(Required) 1 Piano, 4 Hands 1 Piano, 6 Hands 1 Piano, 8 Hands 2 Pianos, 4 Hands 2 Pianos, 6 Hands 2 Pianos, 8 Hands Youth Ensemble Music Title(s)(Required)If the Ensemble is performing more than one piece, just click the "+" sign for an additional line for Music Title. Add RemoveYouth Ensemble Composer(s)(Required) Add RemoveNames & Ages of Other Ensemble Members(Required) Add RemoveGrade in School(Required) Add RemoveYouth Ensemble Performance Time Limit: 5 Minutes(Required)Do You Wish to Purchase an Additional 5 minutes of Performance Time for $15? Total performance time of all pieces must stay within designated limits. NOYESPerformance Time Minutes (No Additional Time Purchased)(Required)11.522.533.544.55Performance Time with Additional 5 Minute Purchase(Required)5.566.577.588.599.510Release FormPlease Read Carefully(Required) In consideration of my participation in the Spokane Piano Competition, I hereby release and discharge Steinway Piano Gallery of Spokane and Spokane Piano Competition from any and all liability in connection therewith. I fully understand that the Spokane Piano Competition may make audio and/or video recordings of my performances in this competition, and that the SPC may also be live-streamed for the convenience of parents, family, teachers and others who may be unable to attend. Promotional materials including print may appear with my permission. I grant Spokane Piano Competition permission to use any images and musical performance in order to promote the Spokane Piano Competition as well as to recruit more students and teachers for future Spokane Piano Competition events.Special Needs & ConsiderationsHELPFUL INFORMATIONYOUTH DIVISION: Wednesday, Nov. 2 & Thursday, Nov. 3If this student has special needs, is traveling from out-of-town or requires accessibility options, please list information that will better aid the SPC in accommodating this student. The SPC will do their best to work with UNUSUAL scheduling requirements, although there are no guarantees. Do NOT ask for scheduling considerations for regular activities, such as school, sports, family or other routine obligations.Participants must be available to perform at any time during the two days. There are no refunds for any reason AFTER scheduling is completed.Payment InformationTotal Credit CardCard Details Cardholder Name CAPTCHA
