FLORIDA FEDERATION OF MUSIC CLUBS / Page / 1 / of

STATE JUNIOR CONVENTION ENTRANT FORM

MAY4-5, 2018 UNIVERSITY OF NORTH FLORIDA - - - JACKSONVILLE, FLORIDA

ABSOLUTE DEADLINE: POSTMARKED BY MARCH 10, 2018 Postage must be hand-cancelled

(Registered mail, certified mail, metered mail/stamp and email attachments will NOT be accepted)

Teacher:Street Address:City, ST, Zip:

Junior Club:Phone:E-Mail Address:

Festival Area (select from the following table): Are you willing to help asRoom Monitor? Other:

Bay Ridge District / Lakeland Area / Royal Poinciana District / North Area
Tampa Area / Palm Beach
Winter Haven Area / South Area
Capital District / Choctaw Bay Area / St. Johns District / St. Johns Area
Lake District / Altamonte Area / Seminole District / Bradenton Area
Brevard County Area / Fort Myers Area
Central (Orlando) Area / Sarasota Area
Martin County Area / Suwannee District / Gainesville Area

______

FEE CALCULATION:# of Entrants in 1-4 Eventsx $30.00 = $0.00

# of Entrants in 5-8 Eventsx $60.00 = 0.00

# of Groups (5 or more) x $25.00 =0.00

Teacher/Counselor (req’d)1 x $15.00 = 15.00

Please mail one copy to each of those named below:TOTAL FEE = $15.00

1) FFMC Festivals Chair – Lisa Smith, P.O. Box 56977, Jacksonville, FL 32241-6977 (with payment)

2) FFMC JR Convention Data Entry – Frederick D. Moore, 802 Fox Valley Drive, Longwood, FL 32779-2510

Include your check made payable to FFMC, INC.

Amount enclosed: Check # Dated to Lisa Smith (address above) Total Events
A copy of this Entrant Form, checklist, and instructions are available online at: (see under Junior Festivals – FFMC Junior Convention). Review Junior Procedures Manual. Reminder: any Application Form that does not include fees for Entrants and Teachers will not be processed. Entries MUST be typed or computer generated. Required repertoire MUST be listed exactly as printed in the current Festivals Bulletin. Teachers may be charged $5.00 for an incorrect entry. Include a self-addressed, stamped postcardwith postage for confirmation of receipt. Teachers - send questions to Lisa Smith:

SUMMARY: # Entrants (Students) / 0 / # of Groups / 0 / Total en / 0 / (To match numbering on attached pages.)
Teacher: / Email: / Phone: / Page / 2 / of
# / ENTRANT* / EVENT / CLASS / SELECTION / COMPOSER/ARR. / DUR.

* List entrants in alphabetical order, last name first. For ensembles, list all partners on separate lines. If group of 5 or more, list as single entry.