2023 AKTA/AMTA In-Person              Adjudications Form                                      Jamila Hla Schwe, Adjudicator
Please return this completed form no later than October 20, 2023.  Any late forms will not be processed.
Sign in to Google to save your progress. Learn more
Email *
Phone Number: *
Instructor's First & Last Name *
How many students are you registering and at what level? If you have no students at a given level, please enter none.  Scroll right to enter more than 7 students.  
 *
0 students
1 student
2 students
3 students
4 students
5 students
6 students
7 students
8 students
9 students
10 students
more than 10
Early Elementary through Elementary 15 minutes (Fee $25)
Late Elementary through Intermediate 25 minutes (Fee $35)
Late Intermediate through Advanced 35 minutes (Fee $45)
Days I prefer: *
Your requests will be considered at a first come, first serve basis. We will do our very best to accommodate your requests.
Required
Time slots I prefer: *
Your requests will be considered at a first come, first serve basis. We will do our very best to accommodate your requests.
Required
Do you want a private 15 minutes teacher conference with the adjudicator? *
There is an extra $15 charge.
I understand my registration form is not complete until payment is paid in full. You will receive a PayPal invoice by the event coordinator after this form is submitted. *
Any special requests or concerns?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms