MCGA Membership Registration

Provincial Rock Band Showcase

April 28th, 6-9 p.m. West End Cultural Centre 586 Ellice Ave.
Select Membership Affiliation
Name of Teacher

First NameLast Name
Phone contact

TeacherSchool
Teacher email
e-mail address
Band Name:
Number of band members:
Grade(s) of students involved:
Instrumentation (check all that apply):

DrumsBassVocals 1Vocals 2Vocals 3Guitar 1Guitar 2Keyboard
If know, list the 2 or 3 songs the band will play (10 minute total performance time):
Should be Empty:

Provincial Rock Band Showcase