State College Music Boosters Membership Form
Your Family Membership Dues ($20/year) and Tax-Deductible Donations support State College Music Boosters in its mission to provide financial and volunteer assistance to SCASD Music Programs. For more information, please visit http://www.scasd.org/Page/22956

After you complete this registration form, please remember to submit your membership fee as a separate step. You may pay by check via mail or credit card at our online store. You will be reminded again at the end of the form.

Date *
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Parent 1 Last Name *
Your answer
Parent 1 First Name *
Your answer
Parent 1 Preferred Phone Number *
Your answer
Parent 1 Email *
Your answer
Parent 2 Last Name
Your answer
Parent 2 First Name
Your answer
Parent 2 Preferred Phone Number
Your answer
Parent 2 Preferred Email
Your answer
Music Booster Volunteer Support
Please check any areas that you might have an interest in helping with.
Student 1 First and Last Name *
Please enter first and last name of your oldest child who participates in SCASD Music Programs
Your answer
Student 1 Expected Year of High School Graduation *
Student 1 School Currently Attending *
Student 2 First and Last Name
If applicable, please enter first and last name of your second oldest child who participates in SCASD Music Programs
Your answer
Student 2 Expected Year of High School Graduation
If applicable
Student 2 School Currently Attending
If applicable
Names, graduation year and school for any additional children.
If applicable, please list information for additional children in SCASD music
Your answer
State College Music Ensemble Participation *
Please check all SCASD ensembles in which children in your family participate.
Required
How would you like to pay your $20 membership fee?
Please note that payment is a separate step after you complete this membership form. You may pay your $20 membership fee by credit card at our online store or mail a check payable to SCASD Music Boosters. A link to the online store and payment addresses are given on the response page after you submit this form, so please take note of them.
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