Composition, Creativity & Improv Retreat Registration

First and Last Name *

Email Address *

Cell Number *

Pronouns *

Birth Date *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Instrument *0 / 50

What are your goals/current projects that you are working towards? *

How would attending BIIMA support your goals? *

Have you attended a program abroad like this before? If yes, when and where did it take place? *

What is your home province? *

Are you applying as a member of: *ACWCCMCIndividual(Please select)

Are you applying for a scholarship:As ACWC memberAs a CMC member

Please note:

We hope to provide up to two ACWC scholarships to be awarded to member(s) of ACWC to cover the costs of the program. Because we are actively fundraising at this time, the exact amount to be awarded will be determined by March 31, 2025. The ACWC will be working with the BIIMA team to choose the recipients of the scholarships.

We encourage composers who hold any ACWC membership to apply, regardless of age or genre of composition. Composers who are also performers and are at any point in their careers are welcome.

If applying for a scholarship, please provide a brief statement on how receiving a scholarship will impact your ability to attend, and how it would impact your artistic development at this time in your career.

Upload your Resumé *

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Link to Video (optional)If you have a video that you would like to share, you are welcome to, but it is not mandatory.

Emergency Contact's Name *

Relationship *

Phone Number *

Alt Phone Number

Do you have any allergies, chronic illness, or medical conditions? If yes, please describe.

Confirmation *BY ACKNOWLEDGING AND SIGNING ABOVE, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Signed On *

Radio *YesNoAre you signing up for the ‘Creativity Ability Development’ Intensive Teacher Training with Alice Kay Kanack? This program will run in tandem with Margaret Maria’s program, with some overlap of inspirational sharing and creative workshops.

Composition, Creativity & Improv Retreat Registration

Step 1. Complete your Registration

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