Illinois Music Association Self Accompaniment Registration 2026

Illinois Music Association 2026

Self Accompaniment Registration Form
Teacher/Studio Name*

First NameLast Name
Teacher/ Studio Phone Number*
Please enter a valid phone number.
Teacher/ Studio Email*
example@example.com
Teacher/ Studio Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I have read the Rules and Registration Information found on the Illinois Music Association Website (link below). Please review your registration information carefully. No changes will be allowed once your registration is submitted.*

Yes
Rules

Registration Information

Student 1 Name*

First NameLast Name
Student 1 Age*
Student 1 Select your accompaniment instrument*

PianoUkuleleGuitar
Student 1 Name of song*
Student 1 Composer or artist if known (not required)
Student 1 Day Selection*

Saturday Mandatory
Submit a 2nd student? (Press Next after your selection)

YesNo

Student 2 Name*

First NameLast Name
Student 2 Age*
Student 2 Select your accompaniment instrument*

PianoUkuleleGuitar
Student 2 Name of song*
Student 2 Composer or artist if known (not required)
Student 2 Day Selection*

Saturday Mandatory
Submit a 3rd student? (Press Next after your selection)

YesNo

Student 3 Name*

First NameLast Name
Student 3 Age*
Student 3 Select your accompaniment instrument*

PianoUkuleleGuitar
Student 3 Name of song*
Student 3 Composer or artist if known (not required)
Student 3 Day Selection*

Saturday Mandatory
Submit a 4th student? (Press Next after your selection)

YesNo

Student 4 Name*

First NameLast Name
Student 4 Age*
Student 4 Select your accompaniment instrument*

PianoUkuleleGuitar
Student 4 Name of song*
Student 4 Composer or artist if known (not required)
Student 4 Day Selection*

Saturday Mandatory
Submit a 5th student? (Press Next after your selection)

YesNo

Student 5 Name*

First NameLast Name
Student 5 Age*
Student 5 Select your accompaniment instrument*

PianoUkuleleGuitar
Student 5 Name of song*
Student 5 Composer or artist if known (not required)
Student 5 Day Selection*

Saturday Mandatory

Registration Fee to be paid by Credit Card or PayPal
prevnext( X )
IMA Member
$37.00 Quantity

Non Member
$42.00 Quantity

Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

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