Phone: (973) 599-0221, (732) 539-4634; E-Mail ; Web: Crescendocompetition.Org

CRESCENDO INTERNATIONAL MUSIC COMPETITIONS

“Where Talent Begins”

USA

Phone: (973) 599-0221, (732) 539-4634; e-mail ; Web: CrescendoCompetition.org.

Massachusetts and New Hampshire: (781) 784-9079; e-mail : Pennsylvania: ; California: ; Seattle, Washington, Pacific Northwest: e-mail ; Canada:

Ontario and Montréal: e-mail ;British Columbia: (604) 688-8929, e-mail ;

Germany and Austria: email ; Russia: e-mail ;

InternationalStudent Exchange Program2016

Ottawa - Toronto - Niagara Falls, Canada

Section I

• Among our most popular educational programs is the International/National Student Exchange Program (SEP), in which participants are provided many unique opportunities. Those in the SEP perform in recitals with students from the most prestigious music schools, colleges

and universities around the world, network with other musicians and attend Master classes, lectures on the history of classical music and

concerts.In addition they will visit museums of art and picture galleries.

• SEP incorporates a wide range of entertaining programs, including sightseeing, guided tours and trips.

• SEP welcomes parents to accompany their children on the trip. Crescendo makes this program interesting for both children and adults.

Section II

Student Information

Please print as clearly as possible.

Student’s name______Age______Major ______Years of practice_____

Last Name/ NomFirst Name/ Prenom Middle Name

Permanent Address /Adresse permanente ______

City/ Stand

______Citizenship / Citoyennete ______

State / Etat Zip Country / Pays

Home phone #______Emergency #______Other /Autre ______@______

E-mail

Parent/Guardian______

Relationship

Principal Teacher/School/ Principaux professeurs, ______

Last Name/ Nom First Name/ Prenom

Permanent Address /Adresse permanente ______

City / Stand State / Etat Zip

Phone #______Other /Autre ______@______

E-mail

Section III

Repertoire

1______by ______Duration / Duree _____

Complete Title / Titre Complet Composer / Compositeur

2______by ______Duration / Duree _____

Complete Title / Titre Complet Composer / Compositeur

Section IV

Publicity Release Form

Crescendo Competitions, Inc. may distribute informational or promotional material, both electronic andprinted, to the parents of current and/or prospective students. These materials include, but are not limited to, newsletters, promotional brochures, development publications, regional, national, or international advertisements, and the company’s World Wide Web site.

______, ______

Student’s Last Name Student’s First Name

Address: ______

City: ______State ______Zip Code______

Telephone Number: ______

_____I hereby grant permission to the Crescendo Competitions, Inc. to use the name/or likeness of my child named above, in all company’s mediatypes including: brochures, news releases, photographs, audiotapes, videotapes, internettransmissions, and any publication or news release that may be used by orfor the company while my child is participating in Crescendo Competitions’ Inc. media types identified above.

_____I hereby deny permission to the Crescendo Competitions, Inc. to use the name and/or likeness of my child named above, whilemy child is participating in the Crescendo Competitions’ Inc. media types identified above.

My permission or lack of permission shall remain in effect unless revokedby me and communicated to Crescendo Competitions, Inc. in writing.

______

Parent/Guardian’s Signature Date

______
Parent/Guardian’s Name (print)

Section V

a. Fees

A fee of $1,800 USD for students and $1,800 USD for parents/guardians will be assessed.

The package includes ...

accommodations for 7 nights,

all transportation while in Canada(New Jersey - Ottawa -Toronto - Niagara Falls -New Jersey) ,

meal plan (3 meals per day; snacks and drinks),

sightseeing tours,

Recitals fees,

Master classes* (guest) and certificates.

Please note, thatApplications must be postmarked by May 20, 2016.

Checks or money orders must be made payable to Crescendo Competitions Inc, and sent with the application to:

Crescendo International Competitions, 4 Lyons Place, East Hanover, NJ 07936-3057.

* All payments are non-refundable.

______

Master Classes will be offered to participants for a fee of$75.

b. Requirements

• Students who travel without a parent/guardian must inform Mrs. Alla Iovel, the program director and administration with information pertaining to any allergies, medical conditions and/or medication along with any other needs.
• Please check your medical provider’s policy regarding coverage:it is highly suggested that individuals excluded from medical coverage purchase a temporary policy.
• Students who travel without a parent/guardian must have notarized parental permission from both parents.
• All students must have valid US travel documents.

______

Parent/Guardian’s Signature Date