Winter (Jan-Mar) 2021 Virtual Concert Band – SF Pride Band Membership Portal

Price:

$50 for access until April 30, 2021

First Name:* First Name Required

Last Name:* Last Name Required

Instrument(s):* Instrument(s) is Required

Alto Sax Bari Sax Bass Clarinet Bassoon Clarinet Conducting English Horn Euphonium F Horn Flag Flute Keyboard/Piano Oboe Percussion Piccolo Soprano Sax String Bass Tenor Sax Trombone Trumpet Tuba Twirler Other (see below)

Other Instrument (if not listed above): Other Instrument (if not listed above) is not valid

Preferred First Name/Nickname (we use this name in concert programs, too):* Preferred First Name/Nickname (we use this name in concert programs, too) is Required

Cell Phone: Cell Phone is not valid

Alternate Phone (optional): Alternate Phone (optional) is not valid

Mailing Street Address:* Mailing Street Address is Required

Unit/Apt #: Unit/Apt # is not valid

Mailing City:* Mailing City is Required

Mailing State:* Mailing State is Required

Mailing Zip:* Mailing Zip is Required

Birthday (mm/dd) (displayed in our directory, leave blank if you don't want shared): Birthday (mm/dd) (displayed in our directory, leave blank if you don't want shared) is not valid

Preferred Gender Pronouns: Preferred Gender Pronouns is not valid

Emergency Contact - Name: Emergency Contact - Name is not valid

Emergency Contact - Relationship: Emergency Contact - Relationship is not valid

Emergency Contact - Best Phone: Emergency Contact - Best Phone is not valid

Your Health Care Provider: Your Health Care Provider is not valid

Your preferred hospital: Your preferred hospital is not valid

Other emergency info you'd like us to know: Other emergency info you'd like us to know is not valid

I authorize the San Francisco Pride Band Band to list my contact information on its active member roster. This roster is for internal use only and will not be shared with any outside organizations.*

I affirm that I am at least 18 years of age.*

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Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

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