Anglesey National Eisteddfod 2017
Stage Competitions – Music (Instrumental)
Registration Closing Date: 1 May 2017
Competition Title: ____________________________________
Competition Number: ____________
Registration Fee:____________
Tick the box to confirm your payment
The registration fee includes entry onto the Maes for every competitor on the day of
the preliminaries/final test
Name of Choir / Group / Party / Individual: _________________________
Number of members (if relevant): ___________________
Contact Name: ________________________________________________
Address 1: ___________________________________________________
Address 2: ___________________________________________________
Town: ___________________________ County: _____________________
Post Code: _________________________________
Tel. no. 1: _______________________ Tel. no. 2: ___________________
E-Mail: _________________________________
Instrument/s: ___________________________ (if you have a harp/heavy
instrument – contact the office to register for a Maes car pass by 22 July at the
latest / no access will be allowed onto the Maes without the pass and entry ticket)
Own Selection Piece(s):
Number of pieces: ____________
Enter the details in the ‘Own Choice Selection’ section
Copyright (Important):
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It is the responsibility of the individual to secure copyright for any own selection
pieces for performance and broadcasting purposes. One copy of every own
selection piece must be sent to the organiser by 1 May, with the Welsh words
set to the music.
Who can compete:
Please tick the appropriate box
I was born in Wales:
One of my parents was born in Wales:
I can speak / write in Welsh:
I have lived or worked in Wales for a year prior to 31 August 2017
Scholarships:
I have lived or worked in Wales for 3 years prior to 31 August 2017
I/We agree to comply with the Special Conditions and the General Rules and
Regulations.
Signed: ___________________________________
Date: ______________________
Registration Notes:
All competition are held in compliance with the Special Conditions and General Rules
and Regulations.
You must use a separate form for each competition. Competing details will be
published on the Eisteddfod website at the beginning of June. Contact the office for
hard copies.
Registration Fee Details:
Individuals: Adults - £10 each / Students - £7 each / Children - £5 each
Duet / Trio / Quartet: Adults - £10 each / Students - £7 each / Children - £5 each
Instrumental Groups: £120 (10 or more members / or £10 per member)
Children’s Groups: £5 per member
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Own Choice Selection – Music (Instrumental):
Piece 1
Title of Piece:
Composer / arrangement:
Publisher:
Title of Publication (if relevant):
Piece 2
Title of Piece:
Composer / arrangement:
Publisher:
Title of Publication (if relevant):
Piece 3
Title of Piece:
Composer / arrangement:
Publisher:
Title of Publication (if relevant):
Piece 4
Title of Piece:
Composer / arrangement:
Publisher:
Title of Publication (if relevant):
Return the registration form/s to:
Elen Huws Elis, Eisteddfod Office, Unit 15, Mold Business Park, Wrexham Road,
Mold, Flintshire, CH7 1XP
If you have any questions, contact the Eisteddfod Office in Mold on 0845
4090 400
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