American Protégé

Summer Gala Concert at Stern 2019

Please fill out the Application form and click SUBMIT button at the end of the form to complete your Ensemble registration.

Fields marked with “*” are mandatory.

Ensemble Name *

Number of Ensemble Members *

Ensemble's genre *

Representative's Full Name *

First

Last

Email *

Additional Email

Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Please enter the Repertoire in the space provided below:

Composer: *

Title: *

Time: *

YouTube Link:

Consent to the Competition Rules and American Protégé Policies:

Consent: *

By checking this checkbox I, a representative of the applying ensemble members, confirm that I have read, and agreed to abide by, the American Protégé Policy and all procedures and rules of the American Protégé Summer Gala Concert at Stern 2019. I certify that the information given on this application form is correct. I understand that incomplete applications (including failure to pay fees and failure to fill in the form properly and provide all required materials and information) will result in disqualification, and that all decisions made by the American Protege are final and may not be appealed.

Ensemble Representative's Name: *

Today's Date: *

Phone