Date of Birth:           
      Permanent Address:        
            City:

      State:          Zip:         
 Phone Number:        
      E-mail:      
Name of high school you currently attend (Fall 2010):     

          Anticipated graduation date (month/year):       
     Name of composition teacher or other music teacher:         
       Teacher Phone:        
Teacher Email:

Upload Composition

For Concert Division Only

 Title of Piece:   
Year Composed:      
  Instrumentation:        

By submitting this form, you agree to the following statements.

1. The piece I have submitted is solely my original creation, and violates no copyright.

2. I understand that the short film used in this year's commercial division is protected under copyright, and may not be used for any purpose beyond this contest, without the express permission of the film's copyright owners.