Membership Form
Please fill out all sections below.  The form will not submit without an entry in each field, however, feel free to use "same as above" or "not applicable" as appropriate.  
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Last Name *
First Name *
Address *
City, Province *
Postal Code *
Phone Number *
Email *
Date of Birth *
MM
/
DD
/
YYYY
Instrument *
Years on Instrument *
School Attending *
Music Teacher *
Music Experience - please list any other music ensembles you may have worked with; other individual / group music accomplishments, etc. *
Parent /Guardian 1 Name *
Parent /Guardian 1 Address *
Parent / Guardian 1 Phone Number *
Parent / Guardian 1 Email *
Parent / Guardian 2 Name *
Parent / Guardian 2 Address *
Parent / Guardian 2 Phone Number *
Parent / Guardian 2 Email *
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