2020 Concerto Compeon Registraon Form

Student Informaon Required fields denoted by (*). Use N/A in required fields if not applicable. See Rules and Regulaons for eligibility. Fesval students receive discounted Compeon registraon rates. Regular rates apply for non-fesval parcipants.

Name* Parent/Guardian Name (if under 18) *

First Last First Last

Age* Sex* Length of Piano Study* School Year (as of September 2020)* (with current teacher)

Email Address* For students under 18, substute a parent/guardian’s email.

Address*

Address 1 Address 2

City State/Province Postal Code

Cell Phone* Home Phone* Work Phone*

(###) ###-#### (###) ###-#### (###) ###-####

Teacher Informaon

Teacher Name* Email Address*

First Last

Phone*

(###) ###-####

1

Title No. 2 *

______

Key *

______

Catalogue No. *

______

Movement No. and Title *

______

Set *

______

List any additional repertoire: Include all information in above format.

Piano ensemble repertoire selection: * All students are required to select at least one piano ensemble work from the PDF, https://arizonapianoinstitute- bym4.squarespace.com/s/Ensemble-Repertoire-for-Piano-Four-Hands-2019.pdf List more than one piece if desired.

Indicate if you are interested in pursuing assigned chamber music with other designated instrumentalists and/or singers: * MediaAll students Release* will participate in chamber music: piano, instrumental, or vocal. Preferences are not guaranteed. Assignments will be made by mid-May

Yes My teacher is aware that he/she may be included in any media of API events, which may be used any Nome for publicity and archival purposes. Housing for Greater Phoenix Metro Area Attendees MinorsHousingCheck (under preference(s):18)for must Greater be accompanied *Phoenix by a Metroparent or legalArea guardian Aendees during non -festival hours. ______MinorsCheck (under more than 18) one must if desired. be accompanied by a parent/legal guardian during non-fesval hours.

IfIf housing housing Piano is needed, is ensemble needed, select select the following the following option: opon: Instrumental ensemble I/we I/We will make will our make own accommodations. our own accommodaons. Vocal ensemble I/we I/We would wouldlike to stay like with toa host stay family. with a host family.

If you are interested in hosng, please indicate how many you can accommodate and any Ifpreferences: you are interested in hosting, please indicate how many you can accommodate and any preferences:

If you would like to stay with a host family, please indicate any allergies, medical conditions, and/or restrictionsIf you would (i.e., dietary, like to pet, stay disability, with etc.): a host family, please indicate number of guests, any allergies, medical condions, and/or restricons (i.e., dietary, pet, disability, etc.):

Summer Festival Repertoire Minimum two pieces. Memorization required. Use N/A in required fields if not applicable. ______Concerto Repertoire See PDF Concerto Repertoire List for eligibility. Please use format as exemplified below, and check repertoire

lisng thoroughly with your teacher for professional formang. Title No. 1 * (i.e., Sonata)

______Composer Full Name* ______Composer (Birth-Death) Years* i.e., Ludwig van Beethoven i.e., (1770-1827) Key * (i.e., C Major)

______

CatalogueTitle* No. * (i.e., Op. 2, No. 3) i.e., Piano Concerto No. 1 ______Examples: Opus (Op.), Werke Ohne Opuszahl (WoO), Bach-Werke-Verzeichnis (BWV), Deutsch (D.), Hoboken (Hob.), Kirkpatrick (K. or Kk.), Köchel or Köchel-Verzeichnis (K. or KV), Searle (S.), etc.

Movement No. and Title * (i.e., I. Allegro con brio) Key* Catalogue No.* ______i.e., C Major i.e., Op. 15

Set * (i.e., Suite bergamasque)

______Catalogues: Opus (Op.), Werke Ohne Opuszahl (WoO), Bach-Werke-Verzeichnis______(BWV), Deutsch (D.), Hoboken (Hob.), Kirkpatrick (K./Kk.), Köchel or Köchel-Verzeichnis (K./KV), Searle (S.), etc.

2

Title No. 2 *

______

Key *

______

Catalogue No. *

______

Movement No. and Title *

MovementTitle______No. 2 No. * (in Roman numerals) and Title* i.e., I. Allegro con brio ______Set *

Key______* ______

______Collaborave List any additional Pianist repertoire: Informaon CompetorsCatalogueInclude all information mustNo. * provide in above their format. own collaborave pianists. If recommendaons are needed, especially for out-of- town contestants, please email Dr. Elias-Axel Peersson, Compeon Chairman, at info@azpianoinstute.org as soon as possible; denote TBD in the required fields if necessary. ______

Title No. 2 *

CollaboraveMovement No. Pianist and Title Name* * Email Address*

______

______

First Key * Last Set Piano * ensemble repertoire selection: * All students are required to select at least one piano ensemble work from the PDF, https://arizonapianoinstitute- bym4.squarespace.com/s/Ensemble______-Repertoire-for-Piano-Four-Hands-2019.pdf List more than one piece if desired. ______Phone* Catalogue No. *

List any additional repertoire: ______Include all information in above format. (###) ###-####

MovementIndicate if youNo. areand interested Title * in pursuing assigned chamber music with other designated instrumentalists

and/or singers: *

______All students will participate in chamber music: piano, instrumental, or vocal. Preferences are not guaranteed. Assignments will be Media Release* made by mid-May

Set * Yes My collaborave pianist is aware that he/she may be included in any media of API events, which may be

Noused any me for publicity and archival purposes. ______Piano ensemble repertoire selection: *

HousingAllCheck students for preference(s): Greater are required Phoenix to * select Metro at least oneArea piano Attendees ensemble work from the PDF, https://arizonapianoinstitute- Age Verificaon Minorsbym4.squarespace.com/s/EnsembleCheck (under more 18) thanmust one be accompaniedif desired. -byRepertoire a parent- orfor legal-Piano guardian-Four-Hands during-2019.pdf non-festival List morehours. than one piece if desired. With List this any applicaon, additional pleaserepertoire: provide a copy of a valid form of ID as proof of age such as a birth cerficate, driver’s Ho______using for Greater Phoenix Metro Area Attendees license, Include passport, all information or social in above security format. card. Minors (under 18) must be accompanied by a parent or legal guardian during non-festival hours. Piano ensemble ______

IfWhich housing Instrumentalform is needed, of ID select ensemblewill theyou following submit? option:

If housingIndicate I/we Vocal Birthis will needed,if makeyou ensembleCerficate areour select owninterested accommodations.the following in pursuing option: assigned chamber music with other designated instrumentalists and/or singers: * I/we Driver’s would like License to stay with a host family. All students will participate in chamber music: piano, instrumental, or vocal. Preferences are not guaranteed. Assignments will be I/we Passport will make our own accommodations. Housingmade byfor mid Greater-May Phoenix Metro Area Attendees I/we Social would likeSecurity to stay withCard a host family. MinorsPiano (under ensemble 18) must be repertoire accompanied selection: by a parent * or legal guardian during non-festival hours. If you are Yes interested Other Government in hosting, Issuedplease indicate ID how many you can accommodate and any preferences: ______All students are required to select at least one piano ensemble work from the PDF, https://arizonapianoinstitute-

bym4.squarespace.com/s/Ensemble No -Repertoire-for-Piano-Four-Hands-2019.pdf List more than one piece if desired. If you are interested in hosting, please indicate how many you can accommodate and any preferences: Sign Forms

IfPlease housingCheck download is preference(s): needed, and select fill * out the thefollowing PDF forms option: below. Check when completed and aach to this applicaon. Check more than one if desired.

I/we Liability will make ourRelease own accommodations. Form* If you would Piano like ensemble to stay with a host family, please indicate any allergies, medical conditions, and/or restrictionsIndicate I/we Medical (i.e.,would if you dietary,like are Releaseto stay interested pet, with disability, Forma host in family. pursuing* etc.): assigned chamber music with other designated instrumentalists If youand/or would Instrumental singers: like to *stay ensemble with a host family, please indicate any allergies, medical conditions, and/or restrictions MediaAll students Release* (i.e., will dietary, participate pet, in disability,chamber music: etc.): piano, instrumental, or vocal. Preferences are not guaranteed. Assignments will be made Vocalby mid- Mayensemble If you are interested in hosting, please indicate how many you can accommodate and any preferences:

Yes I am aware that I and/or my child/ward may be included in any media of API events,

Nowhich may be used any me for publicity and archival purposes. Summer Festival Repertoire

Minimum two pieces. Memorization required. Use N/A in required fields if not applicable. ______Check preference(s): * SummerCheck Festival more than Repertoireone if desired. Minimum If you would two pieces. like Memorizationto stay with required. a host family,Use N/A inplease required indicate fields if anynot applicable. allergies, medical conditions, and/or ______restrictions (i.e., dietary, pet, disability, etc.): 3 Title No. Piano1 * (i.e., ensemble Sonata)

Instrumental ensemble Title______No. 1 * (i.e., Sonata) ______Vocal ensemble ______Key * (i.e., C Major) ______Summer Festival Repertoire Key______Minimum * (i.e., two pieces. C Major) Memorization required. Use N/A in required fields if not applicable. ______Catalogue No. * (i.e., Op. 2, No. 3)

Catalogue______Title No. 1 No. * (i.e., * (i.e., Sonata) Op. 2, No. 3) Examples: Opus (Op.), Werke Ohne Opuszahl (WoO), Bach-Werke-Verzeichnis (BWV), Deutsch (D.), Hoboken (Hob.), Kirkpatrick ______(K. or Kk.), Köchel or Köchel-Verzeichnis (K. or KV), Searle______(S.), etc. Examples: Opus (Op.), Werke Ohne Opuszahl (WoO), Bach-Werke-Verzeichnis (BWV), Deutsch (D.), Hoboken (Hob.), Kirkpatrick Key(K.Movement or *Kk.), (i.e., Köchel No. C Major) andor Köchel Title -Verzeichni * (i.e., I.s (K. Allegro or KV), conSearle brio) (S.), etc.

______Movement No. and Title * (i.e., I. Allegro con brio)

Catalogue______Set * (i.e., No. Suite * (i.e.,bergamasque) Op. 2, No. 3)

______Set______* (i.e., Suite bergamasque) ______Examples: Opus (Op.), Werke Ohne Opuszahl (WoO), Bach-Werke-Verzeichnis (BWV), Deutsch (D.), Hoboken (Hob.), Kirkpatrick ______(K. or Kk.), Köchel or Köchel-Verzeichnis (K. or KV), Searle (S.), etc. ______

Movement No. and Title * (i.e., I. Allegro con brio)

______

Set * (i.e., Suite bergamasque)

______

Submission Email altogether the scanned/photographed Registraon, Liability, and Medical Release Forms, and ID document to registraons@azpianoinstute.org with subject heading “[insert applicant’s full name here] Registraon, Liability, Medical Release Forms, and ID” by the registraon deadline for which you are applying. All fees must be received via mail by the deadline.

Alternavely, you may aach all applicaon materials to this Registraon Form, including payment, and mail them to (all deadlines are postmark dates):

Arizona Piano Instute 19532 North 84th Street Scosdale, AZ 85255

Signature* By signing this form and all completed applicaon materials, I cerfy their accuracy and honesty to the best of my knowledge and agree to API’s policies to the extent of the law. I have submied all necessary and correct payments.

Student/Parent or Guardian (if under age 18) Today’s Date

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