1. Name: __________________________________________________________________________

2. Birth Date: (month)_____ /(day)_____ / (year)______ 3. Age as of December 1, 2007: _________

4. Social Security No.: ___ ___ ___ - ___ ___ - ___ ___ ___ ___

5. Form of I.D. you are enclosing (copy of): Birth Certificate____ Passport____ Driver's License____

6. Current Address: ___________________________________________________________________

7. Current Email Address: ______________________________________________________________

8. Current Phone #: ___________________________ 9. Home Phone #: _________________________

10. Permanent Address: _______________________________________________________________

11. Will you need local accommodations? Yes____ No____

12. Will you need an accompanist? Yes____ No____

13. How did you hear about The 2007 Heida Hermanns International Woodwind Competition?
(please select all that apply)

Posting at school____ Internet____ My music teacher____

Other (please explain) __________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

PLEASE LIST YOUR COMPETITION REPERTOIRE

1. For Your Three Audition Recordings - Refer to instructions regarding providing and labeling
tapes or CDs.

Composer-------------------Full Title--------------------------------Movements------------------------Timing
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

2. For the Semi-Finals

Composer-------------------Full Title--------------------------------Movements------------------------Timing
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

3. For the Finals - The Event Coordinator and contestant will select from your Semi-finals repertoire for
the Finals Concert.

I certify that all information given above is correct to the best of my knowledge. I agree that the
decisions of the judges shall be final, that I will make no claims of any kind against the Competition
or Connecticut Alliance for Music, Inc., and that I shall assent to and comply with all rules and
regulations of the Competition. I also understand that the Semi-Finals Auditions and the Finals
Concert might be recorded and the recordings used by Connecticut Alliance for Music, Inc., for
promotional purposes. I give permission for my performance(s) during the Competition to be
recorded for this use.


Signature: ____________________________________________ Date: ____________________