Ottawa East Junior Music Club Registration Page Concert date * Select a performance date January 19th February 16th March 23rd April 27th Preferred time Please note: we will do our best to accommodate your request, but it is not guaranteed. Thank you for your understanding. 2:00pm 3:15pm Student Name * First Name Last Name Student's birthday MM DD YYYY Email * Phone (###) ### #### Name of Selection * Composer * Level * Beginner Prep A/B RCM 1 RCM 2 RCM 3 RCM 4 RCM 5 RCM 6 RCM 7 RCM 8 RCM 9 RCM 10 ARCT/LRCM Duration * How long does your piece last? Instrument * Name of accompanist (if applicable) If your child is performing with an accompanist (i.e., violin being accompanied by piano), please provide us with the name of the accompanist for the program. Teacher’s name * First and last Teacher's Email * Additional information This is my first performance My teacher sent me I will bring refreshments to share (not mandatory) Membership I have purchased a membership (includes one Adult Guest) I would like to become a member but have not yet paid I will purchase a one-time pass at the door How many guests will you bring? 1 Adult guest (member- free) 1 Adult guest (pay as you go- $10) Additional Adult Guest $10 Family of 4 (must be from same household) $20 I consent to having my child's photograph used in media publications. Yes No Thank you, your registration has been received. You will receive an email the Wednesday prior to the concert with more information regarding concert day.If you have any questions about the upcoming concert, please send us an emailWe look forward to welcoming you to OEJMC!