Application Form

Mail with Recording, Proof of Birth Date and Entry Fee ($35) by July 1, 2002 to

The 2002 Thousand Islands International Piano Competition for Young People
c/o Hessong School of Music
227 E. FM 772, Kingsville, TX 78363



Name_____________________________________SS#____________________________________

School_______________________________________Grade_____________Age______________

Street__________________________________________________________________________

City_________________________________________State__________Zip_________________

Telephone_______________________________________________________________________


Teacher's Name__________________________________________________________________

Street__________________________________________________________________________

City_________________________________________State__________Zip_________________

Telephone_______________________________________________________________________


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