BRADLEY UNIVERSITY / MusiCenteR Grade School PIANO COMPETITION
(Sponsored by the Kawai Piano Company and the MusiCenter)

SATURDAY, JUNE 5, 2010
Registration Deadline: MAY 28

ONE STUDENT PER FORM.

STUDENTS NAME *
STUDENTS ADDRESS *
City *
Zip Code *
PARENT / GUARDIAN NAME *
E-mail Address: *
PHONE NUMBER *
ALTERNATE PHONE NUMBER
STUDENTS SCHOOL NAME *
STUDENTS SCHOOL YEAR *
PIANO TEACHERS NAME *
1st TITLE OF SELECTION to be performed AND Composer *
2nd TITLE OF SELECTION to be performed AND Composer
QUESTIONS - CONCERNS
* Required