Attention New and Returning Students and Familes!

To ensure you are receiving communications from RV Music, please complete the following form:

Please Complete this Membership Form

Please complete this Membership Form to be added to the Charms database so that you can stay up to date with announcements, events and RV Music Communication such as concerts, competitions and parent meetings.

Student Name *

First

Last

2019-2020 Grade Level *

9th
10th
11th
12th

Is Your Student: *

New To The Music Program
A Returning Student

Student Cell Phone *

Student Email Address *

Parent/Guardian Name #1 *

First

Last

Parent/Guardian #1 Phone *

Parent/Guardian #1 Email *

Parent/Guardian Name #2

First

Last

Parent/Guardian #2 Phone

Parent/Guardian #2 Email

Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Graduated Sibling?

Enter Name and Year Graduated

Food or Other Allergies? *

Yes
No

If Yes, plese list.

If yes, please list

Band Fees May be paid in a lump sum or via installments. Please note your preference: *

Lump Sum
Installments
Fundraising + Balance Due May 1, 2020

If paying lump sum please enter online/check amount paid:

Enter Amount Paid

If paying via installments, please enter monthly payment amount:

Enter Monthly Payment Amount

Name

Fundraising With Shop With Scrip

The fast, convenient, secure and easy way to raise money without buying anything. Learn more here.

Just a few Places You Can Use Scrips

Step 1

Sign up for a free account at Shop With Scrip

Step 2

Use Our Enrollment Code So RV Music Gets Credit

Step 3

Set up PrestoPay to pay for your gift cards

Step 4

Your Student Gets Credit For Fair Share. Everyone Wins.

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