of the XXVII L. A. Brook International Children Piano Duo Competition “Brother and Sister” (to be filled out by each duo player separately)

Registration Form

of the XXVII L. A. Brook International Children Piano Duo Competition “Brother and Sister” (to be filled out by each duo player separately)

Participant’s full name
Date of birth
Place of birth
Educational institution (full name)
Teacher’s full name
Home address
Phone number with country and area codes
E-mail
Birth certificate* (number, name of the issuing authority)
Passport ** (number, name of the issuing authority)

*For participants under 14

** For 14-year old or older participants

I agree to the processing of my child's personal data in the manner prescribed by the Federal Law of July 27, 2006, Federal Law No. 152-FZ " On Personal Data", with the posting of information about the results of auditions of the competition on the website of the Herzen State Pedagogical University of Russia

_____________________________^{(parent’s / legal guardian’s signature)}

I agree that in order to determine my child's rating among other participants in the competition the videos will be used my child's performance of the competition repertoire _____________________________

⁽^{parent’s / legal guardian’s signature)}

Repertoire

Category
Composer’s full name, name of the composition, one piano four hands or two pianos, opus number, key and duration In case of a transcription, the name of the arranger.
1 Round





2 Round

Attachment:

A photograph;

A scan of the birth certificate or passport.

I abide by the Regulations of the competition.

Date ________________________ Signature_________________________

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