Don Banks Music Awards Application Form 2023

Don Banks Music Awards (DBMA) 2023 Application Form

Submit this form by midnight on February 24, 2023. Thank you.
Student Name*

First Name Last Name
Birth Date*

Month Day Year
Address*

Street Address

City Province

Postal Code
Name of applicant’s parent/guardian *
Please type the first and last name of the applicant’s parent/guardian.
Main email contact *
example@example.com
Alternate email contact
example@example.com
Phone Number *
Alternate phone number
School attending *
The public/private school you attend.
Grade in school*
Performance medium *
(i.e., voice, piano, violin, cello etc.)
Grade level in music*
Do you take private lessons?*
If yes, how many years?*
Music school/studio *
Music teacher's name*
Music teacher's email*
Music teacher's phone contact *
Are you affiliated with Islington United Church? *
How did you hear about the Don Banks Music Awards? *
Do you sing or play other musical instruments? If yes, please list. *
List any musical awards you have received and/or musical groups to which you have belonged.
Title of the musical selection that you will be performing for the DBMA performance video. *
Composer of your musical selection for the DBMA performance video.*
Please list first and last name of the composer.
Length of your musical selection for the DBMA performance video.*
Grade 1 to 3 - no longer than 3 minutes; Grade 4 to 6 - no longer than 4 minutes; Grade 7 to ARCT - no longer than 6 minutes.
I grant the Don Banks Music Awards Committee permission to view and share the video recording of my child with the adjudicators. *
Please type the full name of the applicant’s parent/guardian. In doing so, you have agreed to the above statements. The video or a portion of the video, may be used on the Islington United Church or Don Banks Music Awards website for promotional purposes in future years.
Submission of this form is due by midnight

February 24, 2023

For further information contact:

donbanksawards@gmail.com

Don Banks Music Awards

is hosted and sponsored by

Islington United Church

25 Burhamthorpe Road,

Toronto, Ontario,

M9A 1G9

416-239-1131

www.islingtonunited.org

www.donbanksawards.org
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Don Banks Music Awards (DBMA) 2023 Application Form