EISTEDDFOD YR URDD - Urdd Gobaith Cymru

COMPETITION ENTRY FORM A:EISTEDDFOD URDD GOBAITH CYMRUCOMPETITION ENTRY FORM – LOCAL, REGIONAL AND NATIONALOne form per competition. A new form must be used for every competition. If you wish (and along with thedecision of your region) multiple competitors in the same competition can be listed on this form. Every formneeds to be fully completed with membership numbers in time for the Local Eisteddfod. If you requirefurther information regarding the Syllabus, rules and conditions of the Eisteddfod, please visit our websitewww.urdd.org/eisteddfodCOMPETITIONNUMBER:BRANCH DETAILSName of Branch:Name of school attended:Name of Branch Secretary:Phone:Mobile:Email:Contact name and Mobile number for use DURING THE EISTEDDFOD WEEKeg. Branch SecretaryBy signing this form, the Secretary, on behalf of the Branch, guarantees that the competitor(s) is/are eligible, and all the information listed on thisform is correct including competitions for learners (please see the Rules in the Syllabus)). You are confirming that every competitor listed below andoverleaf, along with their parents/instructors/leaders conform with all competition rules, general conditions and code of conduct of the Eisteddfod,including broadcasting rights in the National, as stated in the Urdd’s publications and on the website www.urdd.org/eisteddfodEvery Branch must register with the Urdd – details can be found on the website under JOIN. We reserve the right to refuse competitors if this formhasn’t been fully completed. Urdd Gobaith Cymru expects competitors, instructors and supporters to adhere to a spirit of fair play during allevents held by the Organisation.SIGNATURE OF SECRETARY:DETAILS OF COMPETITORSName of Group, Party or Choir:(if relevant)Name of Competitor / Competitors1234Date:School Year orDate of Birth (for 19 year old +)Membership No.Further spaces are available overleaf to continue with listing competitors names, if relevant.DETAILS OF PIECESFOR COMPETITIONS WITH OWN-CHOICE PIECES ONLY: Please complete the details below for every piece of music or poetrythat you intend using in your performance, eg. instrumental competitions, action song, disco dancing, creative dancing, dialogueand dramatic presentations. IMPORTANT: two copies of any own-choice pieces must be attached to this form.Title(s): Composer(s): Publisher(s): Author(s) of Arrangement/TranslationName(s) of Book/CD Name(s) of Artist(s): Track Number(s): CD Number(s):VOCAL SOLOISTS, FOLK SONGS AND CERDD DANT, please note the key in which you Key:have chosen to sing your piece in the box on the right:IF YOU ARE USING ORIGINAL SET PIECE SCRIPTS, MUSIC OR ANY OTHERORIGINAL MATERIAL (which doesn’t have copyright) please the box on the right:The Eisteddfod will provide DRUMS, AMPS and TIMPS in the National only in the band and orchestra competitions, and anycompetitions where drums are permitted (please see syllabus).DETAILS OF RESULTS - For office use onlyLocal Eisteddfod: Position inLocal:Signature of Secretary:Signature ofDevelopment Officer:Length of piece in Local:RegionalEisteddfod:Position inRegional:Signature of Secretary: Office only: Length of piece inRegional:

2/ Continued….5678910111213141516171819202122232425262728293031323334353637383940Name of Competitor / CompetitorsSchool Year orDate of Birth (for 19 year old +)Membership No.FOR GROUP, PARTY AND CHORAL COMPETITIONS, THE NAMES OF TWO SUBSTITUTES SHOULD BE GIVEN.PLEASE NOTE: You must keep to the same competitors throughout the journey to the National. It is against the rules tochange the competitors and the content of the performance between the Local, Regional and National. If there is anydifficulty, the two names listed below should be used.12Details of all Development Officers are available on the Urdd website (urdd.org) under Your AreaEisteddfod yr Urdd Office, Gwersyll yr Urdd Glan-llyn, Llanuwchllyn, Y Bala, Gwynedd LL23 7ST 0845 257 1613 eisteddfod2013@urdd.org