2025 LANGLEY Live! Piano (Adult) LANGLEY Live! MUSIC FESTIVAL REGISTRATION: Piano - Adult (19+ years) 1. Once you have completed a registration, it is NOT possible to change it on line. Instead, all registration changes must be made by emailing langleylive@vayafestivals.ca 2. Online registrations may be paid by Credit Card only. A registration fee of $3.75 will be applied automatically. 3. REGISTRATION DEADLINE: February 1, 2025 – 11:59pm. 4. Registrations arriving after this date will be subject to a $10.00 late fee. Acceptance of a participant’s entry into the LANGLEY Live! Music Festival will release any responsibility of the Festival’s Directors, Staff and Volunteers from any claims, demands, damages, actions or causes of action arising out of or in consequence of any loss, injury or damage to any participant or any participant’s personal property incurred while participating in the LANGLEY Live! Music Festival. Participants agree to allow the Society to post their video links on their website and social media pages for promotional purposes. Contact Information Email of person completing this application * Confirm Email of person completing this application * Participant's Phone Number * Participant's Name * Participant's Name First Name First Name Last Name Last Name Participant's complete address (include unit/suite number) * Participant's complete address (include unit/suite number) Participant's complete address (include unit/suite number) Participant's complete address (include unit/suite number) City City State/Province State/Province Zip/Postal Zip/Postal Country AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Last practical exam (enter NA if the participant is not taking exams) * Approximate Month/Year last practical exam was completed (if taking exams) Teacher's name (if you have no teacher enter 'No Teacher') * Teacher's phone number Teacher's email address Participant's Age on December 31, 2024: (Youth 18 and Under please use the Youth Form) 19 20 21 22 23+ IMPORTANT: Please consult the Syllabus: Piano (Adults) to check for important rules and conditions (including the maximum performance length and correct entry fee). On this form, this participant may be registered in multiple classes or even create multiple registrations in the same class (one fee for each selection). Provincial Class - Age 22 and under Select the Category Provincial Class: Senior Piano Class Number Select the Class level / description RCM Grade 10 or higher Title of Selection (include Opus, Key, BWV, Z, K, KV number if applicable) Composer Title of Second Selection Composer (second selection) Total Performance length (minutes): Time the pieces and round up to the next minute. 0 Check the checkbox to accept the entry fee (see syllabus): $145 plus1 Create another registration minus1 Remove the above registration Competitive Categories - Ages 19 - 28 Years NOTE: Adults wishing to register in non-competitive piano classes may use the youth syllabus class numbers to register. Enter the Class Number: (e.g. PN 0567) 20TH & 21ST CENTURY COMPOSERSIMPRESSIONISTIC COMPOSERSROMANTIC COMPOSERSCLASSICAL COMPOSERSBAROQUE COMPOSERSCOMPLETE SONATASMULTIPLE-PARTSADVANCED REPERTOIRE Select the Class level / description RCM Grade 9RCM Grade 10RCM ARCTRCM OPENPIANO CONCERTOS, DUETS, TRIOS & TWO PIANO CLASSES Title of Selection (include Opus, Key, BWV, Z, K, KV number if applicable) Composer Total Performance length (minutes): Time the piece and round up to the next minute. 0 Select the entry fee (see syllabus): $65 $70 $75 $85 $95 plus1 Create another registration minus1 Remove the above registration Total charge (includes $3.75 service fee and $10 late fee if submitted after February 1, 2025 Payment Submit Registration: When this registration is submitted successfully, a registration summary will be sent to the Email of person completing this application. Submit Registration If you are human, leave this field blank.