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Recital Application

Spring Fling and Halloween Hoot Foundation Benefit Recital Application

You may submit this form online by filling out the information below, or you may print and complete this form and mail to:

AAAPTG Foundation
Foundation Benefit Recital
P.O. Box 3139
Ann Arbor, MI 48106

Please mail the $5 application fee, payable to AAAPTG Foundation. Students performing both a solo and an ensemble need only pay ONE application fee however; please also use duet/ensemble form if playing a duet, trio etc.

Piano Solo

Student last name:

Student first name:

Grade:

Age:

Performance Level:

Piano Teacher's Name:

Teacher Telephone:

Title/Composer

1.		Time:
2.		Time:
3.		Time:


$5 Application Fee:
Tickets @ $3/each:

Total Enclosed:

Duet/Ensemble Students performing both a solo and an ensemble need only pay ONE application fee however, please also use piano solo form if playing a solo. Each member of the ensemble (except teachers) pays a $5 application fee.

Describe Ensemble:

(duet, trio, etc.)

Student #1 name:

Student #1 instrument:

Phone:

Grade:

Age:

Performance Level:

Piano Teacher's Name:

Teacher Telephone:

Student #2 name:

Student #2 instrument:

Phone:

Grade:

Age:

Performance Level:

Piano Teacher's Name:

Teacher Telephone:

Student #3 name:

Student #3 instrument:

Phone:

Grade:

Age:

Performance Level:

Piano Teacher's Name:

Teacher Telephone:

Title/Composer

1.		Time:
2.		Time:
3.		Time:


$5 Application Fee:
Tickets @ $3/each:

Total Enclosed:
Contact Email (required):
PERMISSION The Ann Arbor Area Piano Teachers Guild Foundation has my permission to use my child’s name and/or photos taken at the Foundation Benefit Recitals on its website (aaaptgf.org) and/or in other promotional materials (such as advertising, brochures, newspaper announcements etc.).
Date:	Parent Name