BATESVILLE MUSIC BOOSTERS MEMBERSHIP

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you so much for supporting our musicians.

Your donation supports our music camps, individual grants (for students with financial need), uniforms, and much more.

If you complete the pledge form below, you will receive a statement and can mail your payment at your convenience.

Your Name (as you would like it listed in membership)

Please Select:

I am a parent of a current musician at BSCS

I am a student musician at BCSC

I am a family member of a current musician at BCSC (grandma, grandpa, cousin, aunt,etc.)

I am an alumni of one of the Batesville Music Programs

I am a community members who want to support our students and the music program

Other:

If you are a parent, what is the name of your student?

Please Select a Membership Level:

Headliner! ($1000+)

Spotlight ($500+)

Encore! ($250+)

Ovation! ($150+)

Bravo! ($100+)

Applause! ($50+)

Booster ($25+)

Rising Star! ($10) -- *the Rising Star! level is for BHS alumni, eligible for the first 5 years after graduation

What is your primary email?

Do you have a secondary email where you would also like to receive information and updates? (optional)

Primary Phone Number

Secondary Phone Number (optional)

Mailing Address (Street, City, State, ZIP)

How would you like your name to be listed in our programs?

As I listed it above

I would prefer to be listed as "anonymous"

Other:

Thank you so much for your generous support.

You will see payment options after you click enter on the confirmation page.

Do you have any questions for us? If so, please enter your question below and we will call or email you with a reply asap.

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy