Member Registration Form
Please fill out this Member Registration Form for St. Louis AOSA so we can keep our records up to date and serve you through communicating our upcoming workshops.
Are you a returning member of St. Louis AOSA *
Last name *
First name *
Home address *
City *
State *
Zip code *
Phone number *
Preferred email for correspondance *
School
School district
Name of Curriculum Coordinator for your School District: (format: First & Last Name - leave blank if you don't have one)
Email of Curriculum Coordinator for your School District: (leave blank if you don't have one)
Highest Level of Orff Levels completed:
Clear selection
Are you a National AOSA Member? (We offer a $10 discount off local dues if you're a National Member. Please bring proof of National membership and a form of payment, cash, check or card, to the August meeting.) National Membership can be found here: http://aosa.org/get-involved/become-a-member/ *
Membership Plan desired: *
Would you like to be included in our Digital Member Directory? *
Would you like to be included on a list of possible presenters for district PD?
Clear selection
Would you like to present at future chapter shares?
Clear selection
I understand proof of payment must be provided at arrival prior to attending a Workshop. This may include communication from your District (if they are paying), PayPal confirmation number, or receipt. *
Please visit our website to provide PayPal Payment after submitting this form: http://www.stlaosa.org/workshops/paypal-payments/ *
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