Application

VIRTUAL PIANOFUN MINNESOTA FESTIVAL 2021 APPLICATION FORM
Please complete this online form.

application fee

A completed and signed application form AND the application fee must be sent by February 20, 2022.
- Beginner, intermediate, and advanced categories are $38
- The freestyle category is $30
- Pay via PayPal. The email address is pianofunmn@gmail.com. Please select "Sending to a Friend" so there is no service charge.
- Videos must be uploaded to YouTube and the YouTube link sent to pianofunmn@gmail.com by February 20, 2022. Please ensure the video is set to public or unlisted.

* Indicates required field

Applicant's Name *

First

Last

Applicant's Age on February 20, 2022 *

Parent/Legal Guardian *

First

Last

Mailing Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone Number *

Cell Phone Number *

Email *

Current Piano Teacher's Name & Contacts *

First

Last

Phone Number *

Email *

Group *

Beginner Intermediate Advanced Freestyle

NOTE: Participants in the 2021 PianoFun MN participation who won First Prize in the Beginner and Intermediate groups MUST enter the next group in 2022.

Repertoire *

Certification *

By clicking this button, I hearby certify that I have read and understood the rules of the PianoFun MN Competition, and if accepted as a participant, will abide by them.

Applicant Signature: Type full name. *

Date *

Parent/Guardian Signature: Type full name. *

Date *

Piano Teacher *

By clicking this button, I certify that the student is prepared to participate in the PianoFun MN Competition.

Teacher Signature: Type full name. *

Date *

Submit