Student Membership Form

Name:

Address:

City

State

Zip

Phone

e-mail

School

Grade

Age

Birthdate

Instrument(s) / Voice type

Parent's Name

Parent's Address (complete)

Parent's Phone

Parent's e-mail

Teacher's name (please indicate instrument)

Teacher's Address (complete)

Teacher's Phone

Teacher's e-mail

2nd Teacher's name (please indicate instrument)

2nd Teacher's Instrument/Voice

2nd Teacher's Address (complete)

2nd Teacher's Phone

2nd Teacher's e-mail

Thank you for joining Thursday Musical!

Please be sure to click the Submit button, and then

use the Buy Now button to the left to complete your membership.

Thank you for joining the Thursday Musical Young Artist Program! Your membership entitles you to perform on an Afternoon Recital Series concert, to compete in the Thursday Musical Young Artist Scholarship Competition on Saturday, March 24, 2012, as well as to attend all Thursday Musical professional concerts and events.

After filling out and submitting the form to the right, please use the PayPal button below to complete your transaction. Membership dues are $40 if submitted by November 15, 2011 and $50 thereafter.

Presenting Minnesota's Finest Classical Musicians in Concert