Bluegrass Chamber Application

Entrant Information

Bluegrass Competition Level

Instrument Category *

Number of Performers

Ensemble Member 1 Information

Name *

First

*

Last

Instrument

Address *

Address

City

State/Province

Zip/Postal

Email *

Phone *

Date of Birth *

Age: *

As of Jan 1, 2025

Ensemble Member 2 Information

Name *

First

*

Last

Instrument

Address *

Address

City

State/Province

Zip/Postal

Email *

Phone *

Date of Birth *

Age: *

As of Jan 1, 2025

Ensemble Member 3 Information

Name *

First

*

Last

Instrument

Address *

Address

City

State/Province

Zip/Postal

Email *

Phone *

Date of Birth *

Age: *

As of Jan 1, 2025

Ensemble Member 4 Information

Name *

First

*

Last

Instrument

Address *

Address

City

State/Province

Zip/Postal

Email *

Phone *

Date of Birth *

Age: *

As of Jan 1, 2025

Ensemble Member 5 Information

Name *

First

*

Last

Instrument

Address *

Address

City

State/Province

Zip/Postal

Email *

Phone *

Date of Birth *

Age: *

As of Jan 1, 2025

Ensemble Member 6 Information

Name *

First

*

Last

Instrument

Address *

Address

City

State/Province

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 *

Title and Movement *

Full Composer Name *

Duration *

Add Remove

Teacher Information

Name *

First

*

Last

Address *

Address

City

State/Province

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

First

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