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Harold Protsman Classical Period Piano Competition
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Entry Information Form

Deadline: Must be received no later than 5 p.m. February 5, 2010.
Send to: Harold Protsman Classical Period Piano Competition
                Department of Music
                Old Dominion University
                Norfolk, Virginia 23529-0187

Pre-school through grade 6 $30
Grades 7 through 12 $40
College undergraduate $50

Make checks (non-refundable) payable to Old Dominion University.

Name of contestant:
S.S.# (required for monetary prize):  
Mailing Address:  
City:  State:      Zip: 
E-mail address: 
Telephone:  Grade:
Piano teacher:
Teacher's Telephone No.
Teacher's e-mail:
Name of college, if level 5:
     Years attended:

Repertoire (If sonata/sonatina, state number, key, movement and character designation, such as allegro, andante, etc.)

1st Piece:
Composer:
Character designation:
Timing (required; see limits):

2nd Piece:
Composer:
Character designation:
Timing (required; see limits):


Signature of Contestant: ________________________________

Piano Competition

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