Entry Form . 92nd North Queensland Eisteddfod - Townsville PLEASE PRINT USING BLOCK LETTERS NAME(Mr/Mrs/Miss/Ms)……………………………………………………………………………………………………………. Date …………………… .Phone ………………………………….. Address…………………………………………………………………………………………….………………………………… Mob. Phone……………………….. Email:………………………………………………………………… Time SECTION Name Of Opera, Oratorio, Composer’s Competitor(s) eg Entry Name Of Pianist of No. Section Title Own Choice Item Title Musical (If Applicable) name Duets/Trios/Quartettes Fee $ Item $ CHOIRS TO STATE: Name of Conductor: ………………………………………………………………… Name of Pianist/s ………………………………………………………………………………TOTAL Date of Birth………………/……../…….. For competitors in the 14-18years competition, and those who who wish to be considered for the 19-30yr encouragement award
Entry Form . 92nd North Queensland Eisteddfod - Townsville PLEASE PRINT USING BLOCK LETTERS NAME(Mr/Mrs/Miss/Ms)……………………………………………………………………………………………………………. Date …………………… .Phone ………………………………….. Address…………………………………………………………………………………………….………………………………… Mob. Phone……………………….. Email:………………………………………………………………… SECTION No. Section Title Own Choice Item Title Name Of Opera, Oratorio, Musical (If Applicable) Composer’s name Competitor(s) eg Duets/Trios/Quartettes Name Of Pianist Time of Item Entry Fee $ CHOIRS TO STATE: Name of Conductor: ………………………………………………………………… Name of Pianist/s ………………………………………………………………………………TOTAL $ Date of Birth………………/……../…….. For competitors in the 14-18years competition, and those who who wish to be considered for the 19-30yr encouragement award
entry_form_2018-_townsville.docx