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.musicmakesus.ca/
 
 
 

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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* 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.

First name

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* 2. First name

Last name

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* 3. Last name

Email address

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* 4. Email address

Postal code

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* 5. Postal code

Age

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* 6. Age

Phone number (optional but helpful)

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* 7. Phone number (optional but helpful)

City/Town

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* 8. City/Town

Province or Territory

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* 9. Province or Territory

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

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

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

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

School Board (If applicable)

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* 12. School Board (If applicable)

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

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

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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* 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!!)

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

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

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

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

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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* 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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