2019 Lyra Youth Music Competition Application Form

Deadline for Application: February 10, 2019 at midnight

Student Name *
Student Name
Date of Birth *
Date of Birth
Parent Name *
Parent Name
Address *
Address
Parent Phone *
Parent Phone
Instructor's Name *
Instructor's Name
Instructor's Address *
Instructor's Address
Instructor's Phone *
Instructor's Phone
How did you hear about the Lyra Music Youth Competition? (Please check all that apply)
http://
http://
By checking the boxes below, you agree that you have read, understand, and will comply with all of the rules and regulations as set forth by Lyra Music, Inc. for the 2019 Lyra Music Youth Competition. You agree that the applicant may be photographed, videotaped, and/or recorded at the Final Round, and you agree to give Lyra Music, Inc. full rights and permission to use the name and any or all media footage taken of the applicant for any reason, including promotional use or advertising. You waive all rights to any ownership or compensation for any media footage captured by Lyra Music, Inc. You agree that all of the information provided in your application is complete and true to the best of your knowledge, and any false or misleading information will be grounds for disqualification. **PLEASE BE SURE TO CLICK THE "SUBMIT" BUTTON BELOW FIRST, BEFORE continuing with the form to pay the competition fee. *
Lyra Music Youth Competition Application Fee
85.00

Your application is not complete without a non-refundable application fee of $80 + processing fee

Click "Submit Application Fee" only AFTER submitting your application (above)

Quantity:
Application Fee (click here ONLY AFTER Submitting Application)