Pitching Peace Youth Music Challenge

Entry Form

Before filling out the entry form, please read the Rules and Regulations.

Musical Entry Information

Original Title

Title in English (if original title is not in English)

Country of Production

City/Region of Production

What is the main theme of the musical entry? (Please choose a maximum of two)

Disarmament to Save Humanity: Weapons of mass destruction and other strategic weapons

Disarmament that Saves Lives: Conventional weapons

Disarmament for Future Generations: Emerging means and methods of warfare

Strengthening Partnership for Disarmament: Making a Difference

Short description of the musical entry

Further Information

Language used for the musical entry

Length of musical entry

Audio

Upload requirements

Transcript/Translation

Upload requirements

Entrant Information

First Name

Last Name

Gender

Age at the date of completion

Nationality

2nd Entrant Information

First Name

Last Name

Gender

Age at the date of completion

Nationality

Primary Contact

The primary contact should be someone who is able to answer questions about the musical entry, and receive/answer emails and phone calls. The primary contact can be the entrant, one of the musical entry makers, a parent, a teacher, etc.

First Name

Last Name

Organization (if applicable)

Address

Email Address

Phone Number

Alt Phone Number

Twitter

Instagram

Before you submit

Agreement:

I/we agree that I/we have read and adhered to the Rules and Regulations of the Pitching Peace Youth Music Challenge.

I/we are responsible for any copyrighted material included in the musical entry

I/we agree that the musical entry may be used by the Pitching Peace Youth Music Challenge and associated partners for non-commercial distribution (e.g. Internet, broadcast, DVD distribution, educational exhibition, etc.)

Authorization and Signature

By entering my name below, I (the entrant) assert that I own the rights to the musical entry and I agree to its use as described here and in the Pitching Peace Youth Music Challenge Contest Rules and Regulations.

Signature

Date

How did you find out about the Pitching Peace Youth Music Challenge ?

Important: By submitting this musical entry, you certify that all information provided in this form are accurate to the best of your knowledge. All possible legal claims contradicting the information provided will be deferred to you, the entrant.

Pitching Peace Youth Music Challenge

Musical Entry Information

Entrant Information

2nd Entrant Information

Primary Contact

Before you submit

Authorization and Signature

Status message

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