Register

Filling out this form will request access to the Member Portal and will also put you on the role as a member. It may take a day or two to create your account for the member portal but watch for an email from weebly.com inviting you to set your password. If you have any issues please email us.

Member Registration Form

* Indicates required field

Name *

First

Last

Birthday (mm/dd/yy) *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone *

Mobile Phone *

Email *

Occupation *

Spouse/Partner *

Emergency Contact *

Emergency Phone *

How did you hear about us? *

I will destroy my printed copies of the music after the concerts in accordance with copyright. *

Yes

Submit