Membership Enrollment Form | Bexley Music Parents

Home
About
Event Calendar
Get Involved
Bexley Music Merchandise
Programs
- Band
- Orchestra
- Choir
- Jazz
General Music

BEXLEYMUSICPARENTS

DONATE

Home
About
Event Calendar
Get Involved
Bexley Music Merchandise
Programs
- Band
- Orchestra
- Choir
- Jazz
General Music

Membership Enrollment

Membership Form

Parent 1 Information

Full Name *

First

Last Name *

Last

Email *

Phone

Address *

Address

Street Address

Building/Suite/Apartment #

City

State/Province

Zip/Postal

Parent 2 Information

First Name

Last Name

Phone

Address

City

State

Zip

Student 1 Information

First Name

Last Name

Graduation Year

Programs (check all that apply)

Band

Jazz

Choir

Orchestra

School

High School

Middle School

Elementary School

Bexley Music Yard Sign?

Yes, include graduation year

Yes, no graduation year

No sign

Student 2 Information

First Name

Last Name

Graduation Year

Programs (check all that apply)

Band

Jazz

Choir

Orchestra

School

High School

Middle School

Elementary School

Bexley Music Yard Sign?

Yes, include graduation year

Yes, no graduation year

No sign

Student 3 Information

First Name

Last Name

Graduation Year

Programs (check all that apply)

Band

Jazz

Choir

Orchestra

School

High School

Middle School

Elementary School

Bexley Music Yard Sign?

Yes, include graduation year

Yes, no graduation year

No sign

Enrollment Options

Membership Type

Family Annual Membership - $30 - Covers all members of family (within residence) for school year

Family Lifetime Membership - $150 - Covers all members of family (within residence) for lifetime

Additional Yard Signs
Your first yard sign is FREE with enrollment. Additional yard signs are $10 each.

Additional Donation Amount
Any amount welcome!

Total

Credit Card *

In addition to my membership dues, I am interested in volunteering for (check all that interest you):

Merchandise Sales

Membership

Bake Sales

Fundraising

Other

If you are human, leave this field blank.