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2012 Application

Updated: 2012-05-15

Teen Competition: Sat June 23, 2012, 2-4:30pm

CETM: Centre of Education and Theatre in Montreal
2205 Parthenais, suite 106
Montreal, QC, H2K 3T3

Note: You cannot save your application! Make sure to prepare your answers and attachments (photo and lyrics) ahead of time. There is an application fee of $20 payable through PayPal. No need to have a PayPal account, most credit cards are accepted.

All of your information entered here is only for the purpose of this competition and will not be disclosed to any third parties under any circumstances. Only online applications accepted.

Personal Information

First and Last (Family) Name

Full Address (#, street, apt)

City & postal code

Phone Numbers (with area code)

Email
Confirm Email

Birthday (YYYY-MM-DD)
    Age on 2012-06-23     Boy Girl

Parent/Guardian full name & phone number

If under 18 on June 23, 2012, have your parent/guardian check here:


Mother Tongue
English French Other

School/college & grade/year


Music

Title of song submitted

Video Link

Youtube link of video of you performing that song (please read video rules):


Music Experience

How long have you been playing music? 0-2 3-5 6-10 10+ years


Musical Influences (name a few)

Biography

Give a short biography of yourself, including your experience with music, what instruments you play, your hobbies, interests, and goals:



If you are chosen to be in the Top 10 and compete on June 23, 2012
Accompanying Instrument

If it's the piano, will you require us to provide a piano/keyboard?
Yes, please No, thanks

Will you accompany yourself or bring an accompanist?
Myself Will bring accompanist



Messages or special requests

Message

If you have a special request or any problem to report while filling in your application, please describe here:


Uploads

Upload Your Photo

Please read the photo rules FIRST and then choose a jpg file from your computer:

(MAX 150KB jpg)

(NB: the photo will be uploaded only once the entire form is submitted)

Upload Your Lyrics File

Please choose a .txt, .pdf or Word .doc file from your computer:

(MAX 50KB)

(NB: the lyrics file will be uploaded only once the entire form is submitted)


How did you hear of this competition?

At school
From a friend
On Facebook
On Google+
Stumbled on it while searching for something on the internet
Other (please select all that apply) Newspaper TV Radio



Verification Code
CAPTCHA Verification
Code from the image on the left




  or  

The application fee is $20, payable through PayPal. You may have your parent/guardian pay for you. This fee is non-refundable.

Please note that your application will not be processed fully until you make a payment of $20 for your registration fee.

Please use your own name, or your parent/guardian's name. Don't forget to save the confirmation email received from PayPal.

Application Fee: $20


©2010-2012 www.acousticnightsmontreal.com   NEQ: 2267737924
ANMTSC 2012 IS SPONSORED BY:
CTV
Bell Media

West Island Music Academy

Young Cats Studio

Studio La Majeure

Sears Canada
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