Local Association Event Reporting Local Association Event Report Form Local Association Name * Local Association Coordinator Information Name * Name First Name First Name Last Name Last Name Email * Phone Qualifying Event Information Name of Qualifying Event * Event Location * Event Date * TOTAL number of teachers entering students * How many teachers ARE NOT KMTA members? * Number of entries in each category: Piano Voice Duet Other Total number of qualifying students * Top 25% of total entries Judge’s Information Name * Name First Name First Name Last Name Last Name Professional Status: plus1 Add another judge minus1 Remove this judge Student Recommendations Teacher Name * Teacher Name First Name First Name Last Name Last Name Teacher Email * Teacher Phone Students Recommended * For each student, list the name, instrument, level of study, and age. One student per line plus1 Add another teacher minus1 Remove this teacher Financial Report KMTA teachers participating NON-KMTA teachers participating Students Participating Expense Information Hall Rental for Recital Judge’s Fee(s) Judge’s Travel Expenses Duplicating/Copies Certificates/Prizes Refreshments Collaborative Pianist Other Itemize “Other” expenses List all expenses totaled in “Other” category. Total Expenses Total Income from Student Fees Total Income from NON-member Fees Final Total Final total is: ((((Total student fee income – total expenses)-100)*.25) + Non-member fees) Captcha Submit
