Application Form

Family Name*

Given Names*

Email Address*

City/Suburb*

Postcode

Date of Birth*

Age Group* Group A – ages 11 and under
Group B – ages 12-14 years
Group C – ages 15-17 years

Musical Instrument* Piano
Violin
Viola (only group C)
Cello

About You - Biography

Music Teacher's Name

Music School Name

Photo Instructions

Please submit a photo of the applicant. The photo will be used only to publish the finalists of the Competition on our website and social media. Sending a photo is not obligatory.

Image file size: Before sending check the image file size. Please resize your photo if it exceeds 1.5 MB in size.
Image file name: Before sending check the image file name. The file name should include Your Name and nothing more.
Image file format: We accept JPEG and PNG files only.
Do not submit more than 1 photo.

Upload Photo

Application Fee

Pay the non-refundable application fee of: $50 for all competition age groups. The application process is completed when the application form and the fee have been submitted. The payment description should include the full name of the applicant. Please keep your confirmation of payment.

The competition fee must be paid to the following account:

Commonwealth Bank
Society of Polish Culture in Victoria
BSB 063-240
Acc 1010-9369

Parent/Guardian - Instructions

As all applicants are under 18 years of age, a parent or guardian must complete and sign this Application Form on behalf of the applicant.

Parent/Guardian's Name*

Parent/Guardian's Email Address*

Parent/Guardian's Mobile*

Date of Application*

Applicant's Consent or Parent/Guardian's Consent

By checking the box below (1) I confirm that I've read and understand the Competition Rules, (2) I agree to abide by all rules, procedures/instructions of the competition, (3) I understand and agree that incomplete application and/or failure to comply with any of the rules/procedures/instructions, and/or non-payment of the administrative fee, and/or submitting this Application Form after the deadline might result in my disqualification without notice, (4) I understand and agree that the application fee is non-refundable, (5) I understand and agree that all decisions made by the judges are final and may not be appealed, (6) I certify that the information given on this Application Form is correct, (7) I acknowledge that I am not relying upon any representation, warranty, condition, agreement or understanding, written or oral, except as specified herein or elsewhere on The Polish Music Competition-Australia website https://www.polmusica.com.au, (8) I warrant and represent that I have the right to submit this Application Form, no consent or approval of a third party is required, and I am not subject to any contract, commitment, agreement, arrangement or restriction of any kind which would prevent me from doing so. The checking of the box below shall be binding to the same extent as an original signature.

Do you agree to the terms?* Yes No

Antispam