Thanks for your interest in Youth4Music. This form is intended for youth (30
and under) who would like to join the Youth4Music network.
If you are over 30, we suggest you join the Coalition for Music Education network by going to http://www.coalitioncanada.ca
 
 
 

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* 1. Information about me
Information from this form will be maintained confidential in our records. We will use this information to contact you about Youth4Music events, opportunities and general information.
Information about you will NOT be shared publicly.

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* 2. First name

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* 3. Last name

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* 4. Email address

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* 5. Postal code

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* 6. Age

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* 7. Phone number (optional but helpful)

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* 8. City/Town

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* 9. Province or Territory

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* 10. School name (Elementary School, High School, College or University.)

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* 11. Grade level, Degree level (please let us know your post secondary Major)

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* 12. School Board (If applicable)

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* 13. Are you involved with community group(s)? If so, let us know.

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* 14. What's going on in your musical community? (Tell us about something cool going on in your community, or something you'd like to make happen!!)

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* 15. How did you hear about Youth4Music?! (please do tell!)

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* 16. Comments (Anything else you'd like us to know?)

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* 17. THANK YOU! 
Thanks for becoming part of this national movement of Canadian Youth who are passionate about music education!
You will soon receive information about the exciting initiatives youth are doing for learning, creating, making and valuing music in Canada.

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