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Illinois Music Educators Association 2011Composition and Improvisation Competition Entry Form


Brayer Teague Please send this form, payment, and all entry materials (see general rules) to:


Downers Grove North High School 4436 Main Street


Downers Grove, IL 60515 bteague@csd99.org


Please complete steps 1-4 below and remember to print legibly. 1


Student Name _____________________________________________ ID Number _________________________ Student Home Address _____________________________________________ Student Home Phone ( ______ ) ______________________


Name of School _____________________________________________ School Address _____________________________________________


9 10 11 City, Zip _________________________


Student Email ____________________________________ Grade (circle one)


School Phone ( ______ ) ______________________ Teacher Email ____________________________________


Name of IMEA Sponsor _______________________________________ NAfME ID Number _________________________ (If IMEA sponsor is someone other than your school music teacher, please provide that address and phone below.) _______________________________________________________________________________________________________


2 Title or Opus Number of the Work


Category (select the one that best fi ts your entry) Arranging


Avant Garde/Electronic Commercial/Popular


Instrumental (solo to chamber ensemble) Instrumental (large ensemble Jazz Improvisation Jazz Instrumental/Jazz Vocal Keyboard Solo Vocal Solo Vocal Ensemble


4 Application Fee – $12.00 per entry


Cash or Check payment MUST accompany this entry form. Make checks payable to:


Illinois Music Educators Association 42 Illinois Music Educator | Volume 72 Number 1 This box for IMEA Offi ce use only.


________________________________________________________________________ 3


I hereby certify that the musical composition or improvisation submitted is the original work of the student. Any copyrighted materials, including texts, have been cleared for use. The composer hereby grants IMEA permission to use the submitted composition as detailed in the Entry Guidelines.


______________________________________________ Signature of Student Composers Date


______________________________________________ Signature IMEA Sponsor


Date


______________________________________________ IMEA Sponsor Email


12 City, Zip ________________________


POSTMARK DEADLINE: NOVEMBER 1, 2011


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