Lakeside Pride Membership Form 2021-2022
Welcome to Lakeside Pride! Please fill out this form with contact and demographic information.

If you have any questions, don't hesitate to reach out to members@lakesidpride.org. Please note that all Lakeside Pride Members are required to be fully vaccinated against COVID-19. For more information about our COVID-19 guidelines and updates, visit lakesidepride.org/covid-19.
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First name *
Last Name *
Email *
Phone *
Please write your phone number in the form: XXX-XXX-XXXX
Street Address *
City *
State *
Zip Code *
Chicagoland Neighborhood
If applicable
When we are able to safely hold in-person events: Do you have a car, and if so, would you be willing to carpool with other nearby Lakeside Pride members?
If applicable
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When we are able to safely hold in-person events: Do you need a ride, and would you like to carpool with other Lakeside Pride members?
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When is your birthday? *
MM
/
DD
/
YYYY
Emergency Contact First Name *
Emergency Contact Last Name *
Emergency Contact Relationship *
For instance: Parent, Friend, Partner, Roommate, etc.
Emergency Contact Phone *
Please write their phone number in the form: XXX-XXX-XXXX
Emergency Contact Email *
What is your PRIMARY instrument? *
Yes, first narrow it down to one.  What's your FAVORITE and BEST of all the instruments you play?
What other instruments do you play?
If applicable
What ensemble(s) are you interested in joining this season? *
Required
How did you learn about Lakeside Pride? *
Required
Do you wish to volunteer a specific skill set you have? Check all that apply.
Which dues option will you be opting for this season?
Dollar amounts can be paid all at once or in monthly installments. You may also list an alternate dollar amount to pay, arrange a payment plan by emailing members@lakesidepride.org, or opt-out of dues completely. Whatever option you choose will be kept confidential, and will also have no bearing on the number of ensembles one may join. The easiest way to pay dues without fees is via Zelle/QuickPay at zelle@lakesidepride.org, or via PayPal at paypal@lakesidepride.org giving as a friend or family, or by check payable to Lakeside Pride Music Ensembles mailed to Lakeside Pride Music Ensembles, Center on Halsted, 3656 N Halsted St, Chicago IL 60613
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