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Home
About Us
NBRMTA Provincial Executive
History
NB Local Branches and Executives
Member Resources
Membership
New Membership Form
Membership Renewal Form
Insurance
Quarter Note Newsletter
COVID-19
Policy & Procedures and By-Laws
Programs & Competitions
NBRMTA Media Release
Canada Music Week
NBRMTA Student Composer Competition
Call for Compositions
Essay Competition
Young Artist Series
NBRMTA Provincial Piano Competition
Branching Out
Awards & Scholarships
NBRMTA Hall of Fame
NBRMTA Community Volunteer Award
NBRMTA Memorial Scholarship
Professional Development
CFMTA National Conference
NBRMTA Annual General Meeting & Conference
New Brunswick Workshops and Masterclasses
Research
Links
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2024 AYA Entry Form
Please enable JavaScript in your browser to complete this form.
Name of Competitor / Nom du Concurrant
*
Address / Adresse
*
City / Ville
*
Phone Number / No du tel
*
Email / Courriel
*
Competitor's Instrument or Voice / l'instrument ou la voix du concurrent
*
Competitor Age / L'âge du concurrent
*
Age of competitor as of January 1st, 2024. / / L'âge du concurrent à partir de 1er janvier 2024.
Competitor's Date of Birth / Date de naissance du concurrent
Format: (Day/Month/Year) / (Jour/Mois/Année)
Collaborative Pianist's Name (If applicable) / Nom de pianiste collaboratif (le cas échéant)
Collaborative Pianist's Email / Courriel de pianiste collaboratif
Name of Registered Music Teacher / Nom du professeur de musique enregistré
*
RMT Branch and Provincial Affiliation / Branche de RMT et affiliation provinciale
Teacher's Mailing Address / Adresse postale du Professeur
*
Teacher's Phone Number / Numéro de téléphone du professeur
*
Teacher's email address / Courriel du professeur
*
Program Information / Informations sur le programme
1 - Title / Titre
*
1 - Composer / Compositeur
*
1 - Duration / Durée
*
2 - Title / Titre
*
2 - Composer / Compositeur
*
2 - Duration / Durée
*
3 - Title / Titre
3 - Composer / Compositeur
3 - Duration / Durée
4 - Title / Titre
4 - Composer / Compositeur
4 - Duration / Durée
5 - Title / Titre
5 - Composer / Compositeur
5 - Duration / Durée
6 - Title / Titre
6 - Composer / Compositeur
6 - Duration / Durée
Total Time of Program / Temps total du programme
*
Entry Fee / Frais d'entrée
*
Process with PayPal ($100) / procéder avec PayPal (100 $)
E-Transfer to treasurer@nbrmta.com ($100) / tranfert électonique a treasurer@nbrmta.com (100 $)
A $100 entry fee is to accompany the application form. A 3.5% surcharge will be charged if paying with PayPal or a credit card through PayPal. / Des frais d'inscription de 100 $ doivent accompagner le formulaire de demance. Un supplément de 3,5% sera facturé en as de paiement par PayPal ou par carte de crédit via PayPal. *****Application will not be considered complete until payment has been processed / La demande ne sera pas considérée complete tant que le paiement n'aura pas été traité*****
Terms and Conditions / Termes et conditions
Terms and Conditions / termes et conditions
Competitior Acknowledgement Information / Information du concurrent de renonciation
Terms and Conditions Verification / Vérification des conditions générales
*
I have read and agree to all 13 Terms and Conditions noted above / J'ai lu et j'accepte les 13 termes et conditions mentionnés ci-dessus
Competitor Waiver Agreement (for applicants under the age of 18) / Accord de renonciation des concurrents (pour les candidats de moins de 18 ans)
I Grant Permission / J'accorde la permission
I Deny Permission / Je refuse la permission
Submission as a signature / Soumission en tant que signature
Name
Submit Registration / Soumettre l'enregistrement