OBA Beginning Band Blitz 2022

Student Name *

First Name Last Name

Parent/Guardian Name *

First Name Last Name

Parent/Guardian Email *

example@example.com

Phone Number *

Please enter a valid phone number.

Parent/Guardian Name

First Name Last Name

Parent/Guardian Email

example@example.com

Phone Number

Please enter a valid phone number.

Emergency Contact *

First Name Last Name

Emergency Contact phone *

Please enter a valid phone number.

Grade *

grade 6 grade 7 grade 8 grade 9

Instrument (1st choice) *

Flute Clarinet Alto/Tenor Saxophone Trumpet Trombone Euphonium (Baritone) Tuba Percussion (Snare, Bass Drum + Mallets) [piano experience an asset]

Instrument (2nd choice - please do not put the same instrument as above) *

Flute Clarinet Alto/Tenor Saxophone Trumpet Trombone Euphonium/Baritone Tuba Percussion (Snare, Bass Drum + Mallets) [piano experience an asset]

Will your school be providing your child with an instrument? *

Yes No

Does your child have previous playing experience? *

Yes No

Please describe your child's playing experience.

Can your child read music? (If not, don't worry - we will teach them!) *

yes no a little (please describe below)

If you answered 'a little' to the above question, please describe.

School *

School Board *

Name of Recommending Teacher *

Teacher Email *

example@example.com

Please list any dietary restrictions or allergies *

Please list any medical info *

Other considerations

I attest that my child is fully-vaccinated (two doses) and will present the vaccine certificate at the in-person registration. *

Yes No

I give permission to the Ontario Band Association to use my child's full name in the Beginner Band Blitz Concert program *

Yes No

I give permission to the Ontario Band Association to use individual or group photographs of my child in OBA related presentations, newsletters, and websites. *

Yes No

Payment Options *

Secure online payment By cheque through mail

The participation fee for the Beginning Band Blitz is $50.00. Please send the OBA a cheque payable to:

Andria Kilbride

106 Little Rouge Circle

Stouffville, ON

L4A 0G2

My Products

Participation fee

$ 50.00 CAD

Total

$ 0.00 CAD

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OBA Beginning Band Blitz 2022

Media Release

Credit Card