Membership Form

Personal Information

First Name *:
Last Name *:
Home Address *:
City, State, Zip Code *:
Cell Phone *:
Alternate Phone:
Email *:
School Name *:
County *:
Principal's Name *:

Present Professional Position

Music SpecialistChurch MusicianMusic TherapistStudentClassroom TeacherAdministratorUniversity PersonnelIntern

Orff Levels Taken

Level 1Level 2Level 3Master Class

Workshop Areas of Interest

SpeechSinging VoiceInstrumentsMovementProcessImprovisation

How Would You Like to Get Involved?

County LiaisonHospitality/GreetersBoutiquePhotographerChairpersonRegistrationExecutive Board

Are you an AOSA member?

yesno

Membership Type

Chapter Membership (includes all workshops) $50.00Are you a first time member?Student Membership (includes all workshops) $20.00Retired Membership (includes all workshops) $20.00

How Would You Like to Pay?

Credit Card (secure online payment)Check (to be paid at the first workshop)Cash (to be paid at the first workshop)

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