Ontario Provincial Honour Band
Full Name
*
First Name
Last Name
Gender
Female
Male
Non-Binary
Parent E-mail
*
Student E-mail
*
Home Town/City
*
Home Phone Number
*
Parent Email
*
Grade as of November 2020
*
Instrument
*
School Name
*
School Music Teacher Name
*
School Board
Private Teacher Name
Private Teacher Email
Are you interested in being considered for the Jeff Wrigglesworth Scholarship?
Yes
No
Please upload the following files:
Scale File
*
Browse Files
Cancel
of
Etude
*
Browse Files
Cancel
of
Etude/Solo
Browse Files
Cancel
of
Percussion
Browse Files
Cancel
of
Payment
*
prev
next
( X )
Audition Fee
$
10.00
CAD
Total
$
0.00
CAD
Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Date
Postal Code
Submit
Should be Empty: