Application form for candidates desiring use of a Tack Flute Foundation flute

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Applicant Name *

Home Address (mailing address with zip code) *

Phone Number *

Email address (for communicating audition time and information) *

Age *

School currently attending *

Grade *

Major Subject Interest in school *

Parent's Name *

How many years have you played the flute *

List the names of private teachers you've studied with (if any) *

Who are you currently studying privately with? *

What brand / model of flute do you presently play? *

Have you participated in a solo festival, all city band, or contest? *

Yes

If yes, list where and when you played.

REFERENCE #1: (a present or former music teacher)

Please give Name, relation (i.e.. band director, private teacher, classroom teacher, youth pastor), and email/phone number.

REFERENCE #2: (a present or former music teacher)

Please give Name, relation (i.e.. band director, private teacher, classroom teacher, youth pastor), and email/phone number.

REFERENCE #3:

Please give Name, relation (i.e.. band director, private teacher, classroom teacher, youth pastor), and email/phone number.

Flutes are awarded on the basis of playing ability, potential, and need: Below - please explain why you think you should be a candidate for the use of one of the Tack Flute Foundation flutes. *

I hereby certify that I qualify to enter this audition and will comply with all rules and conditions outlined in this audition bulletin. Type your name below as your signature. *

If selected as a winner, I grant the Tack Flute Foundation permission to post my picture and name on their Facebook page and their Website. Type your name below as your signature

Parent/Guardian please also sign below that you understand and agree to the above photo wavier. Parent/Guardian type your name below as your signature

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