Surname and first name of the participant: _________________

Date and place of birth: ___________________________________

Music education (class, educational institution (full name)):

____________________________________________________________

Teacher (last name, first name, patronymic):

____________________________________________________________

Creative biography of the participant:

(participation in competitions, prizes, awards for the last 3 years)

____________________________________________________________

Place of residence ____________________________

Home address (index) _______________________

Contact phone ____________________________

Teacher's contact phone ____________________

Email: ____________ Viber / WhatsApp _________

Web link to video https://www.youtube.com/______

(Indicate the nomination, age category of the participant, surname and name of the composer, title of the work, timing.)

Nomination _______________________________

Age category _____________________________

And the round

1 .________________________________________

2 .________________________________________

Total minutes _______

Round II

1 .____________________________________

2 .________________________________________

Total minutes _______

I am familiar with the terms of the Contest and agree to abide by them.

Send the application and necessary documents to E-mail: krokdouspihy@gmail.com