Bluegrass Chamber Application 2025 Bluegrass Chamber Ensemble Performance Competitions Application Entrant Information Bluegrass Competition Level * SeniorYoung Artist Instrument Category * Bluegrass Chamber Number of Performers 23456 Ensemble Member 1 Information Name * First * Last Instrument Address * Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Email * Phone * Date of Birth * Age: * As of Jan 1, 2025 Ensemble Member 2 Information Name * First * Last Instrument Address * Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Email * Phone * Date of Birth * Age: * As of Jan 1, 2025 Ensemble Member 3 Information Name * First * Last Instrument Address * Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Email * Phone * Date of Birth * Age: * As of Jan 1, 2025 Ensemble Member 4 Information Name * First * Last Instrument Address * Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Email * Phone * Date of Birth * Age: * As of Jan 1, 2025 Ensemble Member 5 Information Name * First * Last Instrument Address * Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Email * Phone * Date of Birth * Age: * As of Jan 1, 2025 Ensemble Member 6 Information Name * First * Last Instrument Address * Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Email * Phone * Date of Birth * Age: * As of Jan 1, 2025 Repertoire for Competition Performance The repertoire program must include title and number of each movement, tempo markings, performance time for each movement, composer’s full name, and style period. Example: Sonata No. 1 in G minor, BWV 1001 Johann Sebastian Bach Baroque I. Adagio (4:17) IV. Presto (2:48) Style Period * BaroqueClassicalRomanticImpressionisticContemporary Title and Movement * Full Composer Name * Duration * plus1 Add minus1 Remove Teacher Information Name * First * Last Address * Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Email * Phone Number Entrant has studied with teacher since: * MTNA Member? * Yes No State and National Dues paid on: Non-Member Fee School affiliation, if any: Parent Information For ensembles with all students under 18 years of age. Only one parent’s information needed. Parent Name Parent Name First First Last Last Parent Phone Parent Email Competition Agreement It is the responsibility of the teacher, entrant, parents, or guardians to abide by the KMTA Bluegrass Competitions Rules and Repertoire/Performance Requirements Specific to Each Competition Category (See here for details). Any variation will result in disqualification of the entrant. Typing the names of the entrant, parent, and teacher in the box below attests that the information submitted in the application form above is complete and accurate. Example: “Entrant: Jane Smith; Parent: Martha Smith; Teacher: Robert Jones” Name of Entrant, Parent, and Teacher: * Date * Total Application Fee If you are human, leave this field blank.