Harmony for All: Instrument Loan Application

Harmony for All supports individuals experiencing barriers to participation, providing free access to instrument loans and scholarships towards music lessons. Please provide us with a message of intent to let us know what this opportunity would mean to you. This program is for Burnaby residents only. 

Applicant information

Instrument borrower name
Address
Please note: 2 pieces of proof of your Burnaby address are required to be shown when we process your application (Government ID showing your Burnaby address and a bill/bank statement in the same name showing your Burnaby address).
Parent's name
Please tell us why you would like to learn to play an instrument and the personal importance of this loan in up to 500 words.

Instrument loan request

Please check all the instrument(s) you would be interested in borrowing.
Guitars:
Woodwinds:
Percussion:
Brass:
Electric pianos:
Strings:
What is your level of experience?

Your privacy

Your personal information is being collected and used for the purpose of administering the Harmony for All instrument lending program and will be managed in accordance with s. 26 (c) of the Freedom of Information and Protection of Privacy Act. For questions regarding the collection of your personal information and receipt of electronic messages, please contact Marketing and Corporate Communications at [email protected].