2023 J.D. Kelly Competitions (Piano, HONORS RECITAL, Grades K-6)
Upon submission of this form, you will receive a PayPal invoice for $20.00 to the email address you provided (please allow 7-10 business days).  Please note that your application is not complete until your payment has been received.  Students selected for the Honors Recital will be notified of acceptance by October 20, 2023.
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Participant's last name/ family name/surname *
Participant's first name *
Participant's age *
Participant's grade in school *
Parent/Guardian name(s)  *
Parent's Email Address (if 18 or under) *
Phone number (if parent, please specify which parent) *
Mailing address (street/city/state/zip) *
Name of the teacher, last name/first name *
Email address of the teacher *
Phone number of the teacher *
Repertoire Title:  If also participating in Master Class, please submit a different piece for Honors Recital *
Composer *
Length of Piece (minutes/seconds, ex. 3:25) *

URL FOR YOUTUBE VIDEO: After video recording is finished, upload it as an “unlisted” video on YouTube, using the instructions below. 

Video Format: YouTube accepts any of the following video formats: .MO, .MPEG4, MP4, .AVI, .WMV, .MPEGPS, .FLV, 3GPP and WebM.

a. Go to www.youtube.com and sign in. If you don’t already have an account, create one.

b.  Click the “UPLOAD” button at the top.

c. Either click on the “Select files to upload” box and select your video file from your device or drag/drop your video file into the box.

d. In the “Basic Info” screen, enter the appropriate title with the Student’s Name in the box where the filename appears.

e. In the box below the title, enter the name of the piece and the composer’s name.

f. Change the visibility setting from “Public” to “Unlisted” and click “Done.”

g. Click “Save.”  Copy and paste link below.

By submitting the YouTube video link below, you are granting consent for these videos to be viewed by an adjudicator for evaluation purposes.  

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I am also participating in Master Class (Grades K-6) (this is not mandatory for participation in Honors Recital) *
Photography Release for Minor Child or Children (VOLUNTARY) - I hereby authorize the A-State J. D. Kelly Competition to publish photographs taken from video submissions of myself and/or the minor child or children listed above, and our names and likenesses, for use in the A-State J. D. Kelly Competition print, online and video-based marketing materials, as well as other publications.I hereby release and hold harmless A-State J. D. Kelly Competition from any reasonable expectation of privacy or confidentiality for myself and for the minor child and children listed above associated with the images specified above.  Further, I attest that I am the parent or legal guardian of the child or children listed below and that I have full authority to consent and authorize A-State J. D. Kelly Competition to use their likenesses and names.I further acknowledge that participation is voluntary and that neither I, the minor child, nor minor children will receive financial compensation of any type associated with the taking or publication of these photographs or participation in A-State J. D. Kelly Competition marketing materials or other A-State J. D. Kelly Competition publications.  I acknowledge and agree that publication of said photos confers no rights of ownership or royalties whatsoever.I hereby release A-State J. D. Kelly Competition, its contractors, its employees and any third parties involved in the creation or publication of A-State J. D. Kelly Competition publications, from liability for any claims by me or any third party in connection with my participation or the participation of the minor children listed above.
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