American Protégé

International Competition of Romantic Music

2019

APPLICATION FORM

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

Fields marked with “*” are mandatory.

First Name *

Last Name *

Age *

Date of Birth *

Gender: *

Instrument *

Application Category: *

Solo/Ensemble *

Email *

Additional Email

Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Please upload you bio in MS Word format (150 words maximum) and your portrait type photo. If you don't have it ready yet, you can do it later via email to info@americanprotege.com:

Short Bio in MS Word Format

Maximum size - 150 words

Portrait Type Photo

Maximum file size - 5 MB

Please enter your Repertoire in the spaces provided below:

Composer 1: *

Title 1: *

Time 1: *

YouTube Link 1:

Composer 2:

Title 2:

Time 2:

YouTube Link 2:

Please enter your teacher's information:

Teacher's Name 1:

Teacher's email 1:

Teacher's Name 2:

Teacher's email 2:

Consent to the Competition Rules and American Protégé Policies:

Consent: *

By checking this checkbox I confirm that I have read, and agreed to abide by, the American Protégé Policy and all procedures and rules of the American Protégé International Competition of Romantic Music 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) will result in disqualification, and that all decisions made by the panel of judges are final and may not be appealed.

Applicant's or Parent/Guardian's Name: *

Today's Date: *