FLORIDA FEDERATION OF MUSIC CLUBS / Page / 1 / of

STATE JUNIOR CONVENTION ENTRANT FORM

MAY 5-6, 2017

UNIVERSITY OF NORTH FLORIDA - - - JACKSONVILLE, FLORIDA

ABSOLUTE DEADLINE: POSTMARKED BY MARCH 10, 2017

(Email attachments, certified mail, and metered postmarks 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 as Room Monitor/Other? Yes: No:

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. John’s District / St. John’s Area
Lake District / Lake 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: # of Entrants in 1-4 Events x $30.00 = 0.00

# of Entrants in 5-8 Events x $60.00 = 0.00

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

# of Teachers/Counselors 1 x $15.00 = 15.00 = required fee

TOTAL FEE = $15.00

Please mail one copy to each of those named below:

1) FFMC Festivals Chair – Lisa Smith, P.O. Box 56977, Jacksonville, FL 32241-6977 (with payment)
2) FFMC JR Convention Data Entry – Frederick Moore, 802 Fox Valley Drive, Longwood, FL 32779-2510

Include your check made payable to FFMC, Inc.

Check # Dated to Lisa Smith (address above)

A copy of this Entrant Form, checklist, and instructions are available online at: http://www.ffmc-music.org (see under Junior Festivals – FFMC Junior Convention)

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 postcard with postage for confirmation of receipt. Teachers - send questions to: Lisa Smith: