Scholarship Competition Registration Form

First Name*

Last Name*

Phone*

Email*

Please select the division you wish to enter*

Junior

Intermediate

Senior

Instrument*

Teacher’s Name*

Teacher’s Phone*

Accompanist’s Name*

Method of Payment*

E-transfer

Cheque

$50 registration fee – to be paid by the registration deadline. WYO prefers payment by e-transfer.

Name of Piece #1*

Composer*

Grade Level and Syllabus*

Selection must be within the specified grade limits for the division you have chosen. Provide the grade level, and state which syllabus and edition you are referencing, and the page number in that syllabus.

Length (in minutes) #1*

Are you playing a second piece?*

No, I am not playing a second piece.

Yes, I am playing a second piece (additional fields will appear)

Participants must stay within the time limit allotted for their division and have the choice of playing a second piece.

Name of Piece #2*

Composer*

Grade Level and Syllabus*

Length (in minutes)*

WYO 50/50 & Gift Basket Draw

WYO 50/50 & Gift Basket Draw