BCRMTA Junior Piano Competition Online Registration

Branch *

Name *

First

Last

Address *

Address Line 1

City

State / Province / Region

Postal Code

Phone *

Email *

Date of Birth *

Citizenship *

Photo Upload *

Drag & Drop Files, Choose Files to Upload

2mb limit (2000 kb) jpeg only

Biography *

200 words limit

Semi Final Program *

Please list by Order of Performance: Title (complete), Composer (with Initials), Performance time

Final Program *

Please list by Order of Performance: Title (complete), Composer (with Initials), Performance time

Teacher's Name *

First

Last

Teacher's Phone *

Teacher's Email *

Does your branch have an Alternate Competitor *

Final Alternate Teacher's

Registration Fee *

Price: $50.00

Payment is processed through PayPal - you will be given the option to pay by Credit, Debit card or PayPal account