David Moore Competition Application

Fill out the following information and click “Submit” at the bottom.

Once you click submit, you will be redirected to a page to allow you to pay the $20 registration fee via Paypal.

You do not need a Paypal account to pay online, any credit or debit card will work.

2019 David Moore Competition Application

The deadline for registration is November 1.

Student Name *

Date of Birth *

Age (at the time of competition) *

Address *

Address

City

State/Province

Zip/Postal

Parent Email *

Parent Phone *

Division *

Please choose one

Selection 1: Title *

Selection 2: Title *

Selection 1: Composer *

Selection 2: Composer *

Selection 1: Duration *

Selection 2: Duration *

Name: *

Email *

Phone *

I hereby give permission to my son/daughter to participate at the David Moore Competition *

I hereby give permission to my son/daughter to participate at the David Moore Competition

Parent/Guardian name *