SRJBPA Membership Form
Paid Membership of $25 includes 2 tickets to our home Jazz Festival on March 06 (HS) and March 20 (MS)! 
If you volunteer to help during the festival, your admission is free and your tickets may then be used by another member of your family.

Membership Registration also allows the SRJBPA Board to directly communicate with you to share important information about our upcoming events. 

Payments may be dropped in either JAZZ DROPBOX (MS or HS Band Room).  Make checks payable to "SRJBPA" and list Membership in the memo section.  You may also pay with Cash, just be sure to mark the envelope clearly with your name, your child's name and what the money is for. 

Membership Forms and payments should be completed by March 01, 2026

Check Payments may also be mailed to:
SRJBPA - Membership
P.O. Box 864
Manahawkin, NJ 08050

Thanks for your support and we look forward to an amazing season!!

Sign in to Google to save your progress. Learn more
Parent Email Address (Primary) *
Parent Email Address (Secondary)
Parent(s) Names *
Mailing Address *
Phone Number (Primary)  *
Phone Number (Alternate)
Child's Name/ Grade *
What band(s) is your child a member of? *
Required
Membership Fee is $25 per family. 
Please check which payment method you are using.
*
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report