HCBMAA Membership Application Form

Membership

HC Black Music and Arts Association (Dreamaker)
Name Member

First NameLast Name
Parent or Legal Guardian's Name

First NameLast Name
Address

Street Address

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CityState / Province

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E-mail
Cellular Number

Area CodePhone Number
Emergency Contact Name
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Membership
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Harambee Connections $50.00
This Membership includes Spring and Fall cultural wellness activities, the Y.E.S.S. Program, the Glen Edward Kuumba literacy program and HCBMAA’s youth engagement platforms. This membership does not include Harambee Camps nor Empowerment Workshops (Rites of Passage)

Umoja Community Care Membership $65.00
Good for restorative healing circles that includes health and wellness and music and art. Members can attend community board meetings and volunteer talents behind the scene or on special cultural projects and help teach programs.

Imani Pledge $25.00
The pledge is a $25 monthly contribution that goes towards the maintenance of the Harambee cultural programs. Asante.

Total $0.00
Signature
Signature Date

MonthDayYear
To pay go to https://www.inkpeople.org/dreammaker-data/hcbmaa and click Donate Now. You will need to fill out the COVID 19 form before your child can attend any in person camps or events.

Asante Sana,

HCBMAA Crew
I am requesting a Partial Full scholarship for the Harambee Camp for my First Name Last Name . Please note we have a limited amount of scholarships. If you are interested in a scholarship we will send you the document to fill out. Asante
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