When did you complete your project? *

MM

DD

YYYY

Name (First & Last) - Project Participant *

First Name

Last Name

Name of Parent/Guardian if this project participant is under 18 *

Respond "N/A" if Project Participant is 18 years old or older

First Name

Last Name

Phone *

(###)

###

####

Mailing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

I certify: *

that if I am awarded the scholarship, I will sign a video consent and release form.

that I am currently enrolled in a piano program or piano lessons.

that the recording I am submitting was performed this quarter according to the #ShowMePianoProject Scholarship Calendar.

that I agree to the terms and conditions of this scholarship program. Review Terms and Conditions: www.vanguardpianoservice.com/terms-and-conditions