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Count Yourself In!

My contact information

Last name
First name
Email address
Mailing Address (optional)
Phone number (optional)

I want to fortify the crescendo of voices that believe all young people in Canada should have access to quality music education programs!

Please add my name and contact information to -

	Yes	No
The national advocacy movement for music education
The Coalition e-newsletter distribution list so I can stay up to date on the Coalition's activities
I'm interested in learning more about Music Monday
I would like to register for 2013 Music Monday to Fill the Skies with Music along with Astronaut Chris Hadfield and Barenaked Ladies front-man Ed Robertson

Information About Me

Elementary school
Secondary school
Private school
Independent school
College
University

Classroom Music Educator
Itinerate Music Educator
Student Music Educator
Student (secondary school)
Principal
Vice-Principal
Superintendent
Professor
Parent

under 16
16 - 21
22 - 31
32 - 41
42 - 55
56 - 65
over 65

Male
Female

Other thoughts.....

Thank you!