MBA Membership Form SY 22-23 Captcha Protected

Membership Form

School Year 2022-2023
Membership dues ($20 per family) and donations are used to assist with cost incurred to support the Waipahu High School Band. Some of the costs may include instrument repairs, equipment purchases, transportation, special events, meals, snacks and supplies. Your contribution is highly needed and significantly adds value to the band’s success.
Member Information

Primary Member
Name

First Name Last Name
Phone Number
Please enter a valid phone number.
Email:
example@example.com
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Additional Member Information

Secondary Member
Name

First Name Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Student(s) Information
Student Name

First Name Last Name
Student Grade 9 / 10 / 11 / 12
Instrument Instrument 1 Instrument 2 Instrument 3
Student Name

First Name Last Name
Student Grade 9 / 10 / 11 / 12
Instrument Instrument 1
Student Name

First Name Last Name
Student Grade 9 / 10 / 11 / 12
Instrument Instrument 1
Volunteer I am interested in the following (please check all that apply):

Chaperone Fundraising Events Equipment/Instrument Transport (p/u truck, truck drivers) Crafting Hospitality Food Preparation Security Community Engagement Other: Please let us know, we would love to have you
Dues
My Products
Categories: All

All
prev next ( X )
Membership Dues New Membership Dues
$ 20.00

Discounted Polo Discounted MBA Polo
$ 15.00

Suggested Donation Suggested Additional Donation
$ 100.00

Additional Donation Thank you for your kind donation
$ 1.00
Item subtotal: $ 0.00

Total

$ 0.00
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Membership Form

Member Information

Additional Member Information

Student(s) Information

Dues