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About
Fall Into Spring Program
Summer Intensive Program
Chamber Music Competition
Media & Events
Alumni
- Alumni List
- Alumni News
Support

Entry Form

- Step 1 of 3

ENSEMBLE INFORMATION

Layout

Ensemble Name *

Number of musicians in ensemble *

Division *

Middle School
High School

Does instrumentation include piano? *

Is your ensemble eligible for the School Prize? (Do all members of the ensemble attend the same school?) *

Yes
No

Does instrumentation include harp? *

What is the name of the school? *

Layout

How did you learn of the FPCM Competition? *

Private Teacher/Coach
School
Other students
Other parents
Youth Orchestra
Website
Print ad (magazine, program, etc.)
All-State
Other

Please check all that apply.

Which teacher or coach?

Which school?

Which orchestra?

Where did you see the print ad?

Please specify "other"

PRIMARY CONTACT INFORMATION

Primary Contact Person Name *

The primary contact is a representative (parent or student) of each group with whom Franklin Pond will communicate

Contact Person Status *

Ensemble member
Parent
Other

Contact Person Email *

Email is the primary mode of communication. Please provide an accurate email address and check email frequently.

Contact Person Phone *

Does the ensemble includes at least one member with a U.S. tax identification or social security number? *

Yes
No

In compliance with IRS requirements, at least one member of a prize winning ensemble (or guardian if under 18) must have a valid U.S. Social Security number or U.S. Tax ID number; otherwise, a percentage of winnings will be withheld for federal taxes.

The ensemble's contact person must certify the following statement:

"By checking the box below, I verify that this ensemble meets all eligibility and entry requirements. I affirm that each ensemble member is aware of, and will abide by, all competition rules. Each member is informed of, and accepts, all responsibilities implied and stated with this entry into the competition."

I agree

Name *

Date *

ENSEMBLE MEMBER INFORMATION

Member 1

Layout

Name *

Birthdate *//

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Instrument *

Age (on 5/28/23) *

Email *

Phone *

Layout

Parent/Guardian Name(s) *

Parent/Guardian Email *

Parent/Guardian Phone *

Parent/Guardian Address *

Address Line 1

Address Line 2

City

State

Zip Code

Member 2

Name *

Birthdate *//

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Instrument *

Age (on 5/28/23) *

Email *

Primary Phone *

Parent/Guardian Name(s) *

Parent/Guardian Email *

Parent/Guardian Phone *

Parent/Guardian Address *

Address Line 1

Address Line 2

City

State

Zip Code

Member 3

Name *

Birthdate *//

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Instrument *

Age (on 5/28/23) *

Email *

Primary Phone *

Parent/Guardian Name(s) *

Parent/Guardian Email *

Parent/Guardian Phone *

Parent/Guardian Address *

Address Line 1

Address Line 2

City

State

Zip Code

Member 4

Name *

Birthdate *//

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Instrument *

Age (on 5/28/23) *

Email *

Primary Phone *

Parent/Guardian Name(s) *

Parent/Guardian Email *

Parent/Guardian Phone *

Parent/Guardian Address *

Address Line 1

Address Line 2

City

State

Zip Code

Member 5

Name *

Birthdate *//

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Instrument *

Age (on 5/28/23) *

Email *

Phone *

Parent/Guardian Name(s) *

Parent/Guardian Email *

Parent/Guardian Phone *

Parent/Guardian Address *

Address Line 1

Address Line 2

City

State

Zip Code

Member 6

Name *

Birthdate *//

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Instrument *

Age (on 5/28/23) *

Email *

Phone *

Parent/Guardian Name(s) *

Parent/Guardian Email *

Parent/Guardian Phone *

Parent/Guardian Address *

Address Line 1

Address Line 2

City

State

Zip Code

Member 7

Name *

Birthdate *//

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Instrument *

Age (on 5/28/23) *

Email *

Phone *

Parent/Guardian Name(s) *

Parent/Guardian Email *

Parent/Guardian Phone *

Parent/Guardian Address *

Address Line 1

Address Line 2

City

State

Zip Code

Member 8

Name *

Birthdate *//

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Instrument *

Age (on 5/28/23) *

Email *

Phone *

Parent/Guardian Name(s) *

Parent/Guardian Email *

Parent/Guardian Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

ENTRY VIDEO, SCORE, AND PICTURE UPLOAD

Video Submission Link *

Please be sure your YouTube link is marked as UNLISTED. This can be done in the video upload settings on YouTube.

If your ensemble has a high resolution photo, please upload it.

Click or drag files to this area to upload. You can upload up to 3 files.

A photo of your ensemble is not necessary but highly encouraged. Ensemble photos will be displayed on the Franklin Pond website as well as other media outlets.

Score Upload *

Click or drag a file to this area to upload.

Please upload ONLY the movement being performed. Do NOT upload the entire chamber work.

Composer *

Title of Piece *

Name of Movement *

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Atlanta, GA 30342

fpcm@franklinpond.org

404-252-3479

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