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2022/2023 BRHS OPA Membership Form
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* Indicates required question
Email
*
Your email
Student Name 1
*
Your answer
Orchestra
*
Ninth Grade
Concert
Symphony
Student Name 2 (If applicable)
Your answer
Orchestra
Ninth Grade
Concert
Symphony
Clear selection
Student Name 3 (If applicable)
Your answer
Orchestra
Ninth Grade
Concert
Symphony
Clear selection
Parent Contact Name
*
Your answer
Address
*
Your answer
Contact Cell Number
*
Your answer
Membership Fees (Select all that apply)
*
$20 Membership (One student)
$40 Membership (Two students)
$60 Membership (Three students)
+$100 Guilt Free
Required
Additional Donation $
Your answer
Does your company have a matching grant program?
*
Yes
No
If yes, what is the name of your company?
Your answer
Please send your payment via check (made out to BRHS OPA) with your child's name in the memo section of the check to the big brown membership envelope in front of the orchestra director’s office in the orchestra room.
Enter the Check Number
*
Your answer
A copy of your responses will be emailed to the address you provided.
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