Solo Performance Entry Form - Lismore Eisteddfod

Please ensure that all sections are completely filled as failure to do so may result in your entry being rejected.

Entries close 31st May 2019.

LATE ENTRIES

Late entries will be accepted up to one week after closing date. Late entry is double normal fee.

Download the Solo Performance Entry Form in PDF format,

fill in the email form below.

Competitor Details

First Name

Phone

Last Name

Address

State

Town/Suburb

Postcode

Date of Birth

Age as at 31/5/2019

Teacher Details

Studio Name (if applicable)

Teacher Name

Phone

Teacher Email

Address

Town/Suburb

State

Postcode

THE FOLLOWING STATEMENT MUST BE COMPLETED BY PARENT/GUARDIAN/TEACHER or COMPETITOR OVER 18 YEARS
I have read and understood that, by entering this competition, I agree to abide by the Governing Rules of the Lismore Musical Festival Society.

(Please acknowledge by writing YES in the appropriate box)

Parent/Guardian/Teach of Competitors (under 18 years)

Section No

Section Description (As Per Schedule)

Entry Fee

SUB TOTAL

Program (posted) $15 (optional)

Trophy donation $15

Donation (optional)

Compulsory Service fee

TOTAL

Please note: your entry can not be accepted without an entry fee. The payment details will be on screen and emailed to you when you submit this form.

Comments / Questions