NKAC Membership Registration Form

Yearly membership Registration/ Donation to NKAC

Complete the form below to join the New Kensington Arts Center. All donations are suggested.
Name

First NameLast Name
E-mail
Phone Number:

Area CodePhone Number
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Please add the names of the additional family/household members joining:
Please share your artistic interests, as well as volunteer interests
NKAC Photo and Video Waiver

I, First Name Last Name , grant permission to the New Kensington Arts Center (NKAC) to use any and all images of me and/or my Family members selected for distribution in any and all advertising, promotion and social media for the benefit of the NKAC and any or all of its membership.
Signature Signature Date Date

Membership Options

NKAC Membership - AnnualAnnual membership for 1 person

$45.00

Additional Household MembersSelect the number of household members to add to your membership.

$5.00 Quantity

Make a donation Please select quantity for suggested donation

$10.00 Quantity

Total

$0.00

Yearly membership Registration/ Donation to NKAC