LMTA Keyboard Olympics Form for ReTesting

LMTA Keyboard Olympics Retesting Form
Student Name*

First NameLast Name
Student Email
example@example.com
Teacher Name*

First NameLast Name
Teacher Email*
example@example.com
Teacher Cell Phone*

Area CodePhone Number
Select your level*

PreparatoryLevel 1Level 2Level 3Level 4Level 5Level 6
PREPARED EVENTS: Select the component(s) you wish to retest.

Keyboard MusicianshipPrepared Lead SheetsRepertoire
If you selected PREPARED LEAD SHEETS please list your pieces.
If you selected REPERTOIRE please list your pieces.
SPONTANEOUS EVENTS: Select the component(s) you wish to retest.

Ear TrainingHarmonization and Transposition
If you selected EAR TRAINING, please select your preference for receiving audio files.

Text messageEmail
CREATIVE EVENTS: Select the component(s) you wish to retest.

ImprovisationQuestion/AnswerComposition
If you selected IMPROVISATION or QUESTION/ANSWER, Levels Prep - 2, please select your preference for receiving recorded accompaniments.

Text messageEmail
Select your testing date*

Sept. 23, 2024 (Sat. am)Oct. 21, 2023 (Sat. am)Nov. 12, 2023 (Sun. pm)Dec. 9, 2023 (Sat. am)Jan. 27, 2024 (Sat. am)Feb. 24, 2024Mar. 30, 2024 (sat. am)May 5, 2024 (Sun. pm)
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Signature

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There is a fee of $10 per component you wish to retest. Please select the number of components being tested for each event. Fee must be submitted with application.
My Products
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Prepared Events$ Free

Quantity
Item subtotal:$0.00

Spontaneous Events$ Free

Quantity
Item subtotal:$0.00

Creative Events$ Free

Quantity

Total $0.00
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LMTA Keyboard Olympics Retesting Form