KIWANIS MUSIC FESTIVAL OF LONDON (Festival 2024)
ENTRIES CLOSE MONDAY, JANUARY 15, 2024 AT 11:59 PM.             
          If using this form, it must be scanned and returned by email to the Festival Secretary at
secretary@kiwanismusicfestivallondon.com

Class Number

Competitor: First Name

Competitor: Last Name

Gender

Class Name: (for example)  –  Vocal, Level 6,  OR   Piano, Level 8;  OR   Violin, Open, etc., etc.

Address No.

Street

City

Postal Code

Your E-Mail

Phone
 

Other Phone

Date of Birth

Age

TEACHER: (Check one) Private  €   School  €

First Name___________________________________

Last Name ___________________________________

Address
________________________________________________________

Postal Code ________________   Phone ___________________

Email  _________________________________________________

Competitor's Music
Level/Grade

Number of Performers

Accompanist Name

Own Choice Selections                                                                             (Performance time in minutes for scheduling)

Title

Composer

Minutes

1.

2.

Duets, Trios, Quartets & Quintets (Please list performers in the spaces provided.)

First Name

Last Name

Instrument

Date of Birth

1.

2.

3.

4.

5.

Class changes will not be permitted. It is the responsibility of the Competitor, Parent and Teacher to read ALL RULES and to enter the correct class number/s.

Reminder to all participants, parents and teachers that all suggestions, complaints or protests concerning the Festival must be directed in writing to "THE BOARD".  Decisions of the adjudicators are final.  I hereby certify, having read the rules and regulations for 2024, that this entry complies with all conditions.
     N.B. Privacy Legislation requires a signature in the area below.

Type Parent/Guardian Name:

____________________________________________

By submitting this entry to the Kiwanis Music Festival of London, I acknowledge and agree to the following:

I give permission for my child’s name ________________ and school to be included on the Kiwanis Music Festival website and performance program.
Parent’s Signature/Guardian _______________________

I do NOT give permission for my child’s name ___________________  and school to be included on the Kiwanis Music Festival website and performance prog.
Parent’s Signature/Guardian _______________________

               Entry Fee

               Donation

               Total Enclosed

Paying by:  (Mark with an X)

                  E-Transfer

                  Cheque

$

$

$

______

_________

Please indicate with an X on the line that you prefer that your child be identified by number and not by name. 
                                                       
                                                              ______________                        
                                                                                             

Please refer any questions regarding completion of this form to the Festival Administrator or email secretary@kiwanismusicfestivallondon.com
Tel. 519-432-5183