Gulf Coast Celtic Fling &
Highland Game
February 19th & 20th, 2005
Manatee County Fairgrounds
Palmetto, Florida
Official Pipe & Drum
Competition Registration Form
Print
out the following form and mail to:
Roderick MacDonald
Director of Music
Education -
Academy
of
Scottish
Arts
2030
Bispham Road
Sarasota,
Florida
34231
941-926-8289
Please Make Checks Payable to:
Gulf
Coast
Celtic Fling
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Saturday, February 19, 2005
PIPE BANDS
Registration Fee: $50.00
Non-Refundable
(Must submit roster with
entry)
Name
of Band_____________________________________
_________________________________________________
Address__________________________________________
City_____________________________State_____Zip_____
Phone
Number (
) ______________________________
Pipe
Major________________________________________
Drum
Major________________________________________
Pipe
Band
Association____________________________Grade_______
Pipe
Band
Event
Numbers_____________________________________
Number of band members____________________________
INDIVIDUAL COMPETITION
Piping and drumming
Registration Fees (non-refundable)
Amateur Piping and Drumming $8.00
All Open Piping and Drumming $15.00
Name______________________________________
Address____________________________________
City____________________State_____Zip________
Phone Number (___)__________________________
Event Number(s)_____________________________
SUSPBA Association or other
Affiliation___________________________________
Membership #______________________
Band
Affiliation_____________________
Entries must be postmarked
on or before March
5, 2003.
One Fee per Competitor
Please enclose a
Self-Addressed
Stamped Envelope so that your competition ribbon can
be mailed to you. You will
need this ribbon for entrance to the games.
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Please enter me (my child) in the events listed on this form. I hereby for
myself (my child), my heirs, executors and administrators, waive and
release any and all rights and claims that I (my child) may have for
damages against Gulf Coast Celtic Fling and Highland Games, their agents,
trustees, representatives, officers and employees, for any injuries which
may be suffered by me (my child) during the Gulf Coast Celtic Fling and
Highland Games, and/or any function related to the Games.
I warrant that I (my child) am (is) in good health and with no
physical condition that would prevent me (my child) from participating in
any events listed on this form. I (my child) agrees that photographic
reproductions of any sort which may be taken of me (my child) while
participating in the events listed on this form, as well as the use of my
child’s name, may in any manner be used by Gulf Coast Celtic Fling and
Highland Games, or any person, partnership, corporation or association
authorized by Gulf Coast Celtic Fling and Highland Games.
I (my child) have (has) read the rules and regulations listed on
this form, and I (my child) agree(s) to accept and act in accordance with
the rules of SUSPBA and these Games.
SIGNATURE
_________________________ Date__________
(parent or guardian if under 18 years old)
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Sunday,
February 20, 2005
QUARTET COMPETITION
Entry fee $20.00 per event
Q1
Open Piping Quartet Medley 3-7 Minutes
1st $300. 2nd $250.
3rd $200.
Q2
Open Piping Quartet, March, Strathspey and
Reel
1st $300. 2nd $250. 3rd
$200
(Submit members names in quartet)
______________________________
______________________________
______________________________
______________________________
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