ASTA with NSOA Solo Competition
Pennsylvania/Delaware State Application Form
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Please note: If you have Adobe Acrobat Reader, you may want to download the PDF version of this application.
First Name ____________________ Last Name _____________________ Address __________________________________________________________ City ____________________ State _________ Zip _______ Home Phone __________________________ E-mail _______________________ Birth date __________________ (Please provide proof of birthdate - birth certificate, driver's license, etc.) Junior Division ____ Senior Division ____ Instrument ___________________ ASTA with NSOA membership number ____________ (Competitor or sponsoring teacher MUST be a member of ASTA with NSOA) School ___________________________ Teacher _________________________ Signature ___________________________________________________________ By signing here, I certify that this information is accurate. ( For Junior Division Entrants, this form must also be signed by a parent or teacher) Repertoire chosen for this competition: ___________________________________________________________________ ___________________________________________________________________ (Please note - in order to be eligible to compete at the National Level, the chosen repertoire MUST include the required piece(s).) |