FSMTA Collegiate String Competition Application

Contestant's Name:*

First NameLast Name

Date of Birth:*

Phone:*

E-mail:*

Parent's email address if Pre-College applicant

Instrument:*

Permanent Mailing Address:*

Street Address

Street Address Line 2

CityState / Province

Zip Code

Name of College/University/Conservatory:*

Current year of study:*

Degree enrolled"*

Teacher's Name:*

First NameLast Name

Phone:*

E-mail:*

Mailing Address:*

Street Address

Street Address Line 2

CityState / Province

Zip Code

Is teacher a member of FSMTA?*

YesNo

MTNA Membership # (if applicable)

Repertoire: Composer, Title, and Performance time—do not estimate

Composer*

Title*

Performance Time*

Composer*

Title*

Performance Time*

Composer

Title

Performance Time

Composer

Title

Performance Time

Composer

Title

Performance Time

Accompanist's name (if applicable):

Contestant's digital signature*

Parent's digital signature

(if contestant is under 18 years of age)

Type a digital signature below to give permission to use video for FSMTA purposes: I give permission for the video submitted to be used by FSMTA for evaluation purposes.

Contestant's (or Parent's) digital signature*

(if contestant is under 18 years of age)

Type a digital signature below to give permission to use photo for FSMTA purposes: I give permission for my photograph submitted to a Florida State Music Teachers sponsored event to be used on the official FSMTA website and/or in the official FSMTA Newsletter and/or on the official FSMTA social media accounts (Facebook (floridamta) and Instagram (floridastatemta)). FSMTA acknowledges the contestant’s right to not submit a photo. If Photo Permission remains unsigned, FSMTA will not require a photo to be sent.

Contestant's (or Parent's) digital signature

(if contestant is under 18 years of age)

Upload photo of applicant*

Browse Files

Applicant's bio (250 words or less)*

After submitting this form, please make payment through the PayPal button below. Registration is NOT COMPLETE until payment has been made.