Blake Music Boosters 2022-2023

Blake Music Boosters Membership & General Donations

Your booster membership for the 2022-2023 school year serves the Blake Music Department with time and talent to help activities run more smoothly and coupled with general donations help subsidize the many needs of the department.
Your information:
Your Name:*

PrefixFirst NameLast NameSuffix
Additional Name:

PrefixFirst NameLast NameSuffix
In the box below, please type your name as you would like it to appear in the program materials and on-line acknowledgments. We like to acknowledge all our Boosters in our concert programs. If you leave this field blank we will use the names(s) entered above.

If you do not wish to be listed in the program, please write "Do not list".
Name to be listed in the program:*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Your e-mail:*
Phone Number*

Area CodePhone Number
Student / Program Information:
Student Name(s):*
Student Year(s):*

Grade 9Grade 10Grade 11Grade 12AlumniN/A
Ensembles (check all that apply):*

Choral: A Cappella!Choral: Concert ChoirChoral: Vocal EnsembleInstrumental: Concert Band/Wind EnsembleInstrumental: Jazz EnsembleInstrumental: Marching BandInstrumental: OrchestraInstrumental: PercussionGeneral Music: Guitar, Piano, Theory, etc.
Membership or Donation:

If you choose to become a Booster Member, at any level/amount, your name will be added to our current year membership list and you will receive all Booster communications.

Booster membership levels:
- $5 - $99 Supporter Level
- $100 - $399 First Chair Level
- $400 and up Conductor's Circle (includes two complimentary Swing Night tickets)
Your generous donation will go to enrich the experience of students within all of the Blake Music programs. With the donation option, you will not receive regular program email updates.
I wish to:*

Become a Booster MemberMake a donation
Payment:

Booster Membership or Donation amount

USD

Credit Card

Should be Empty:

Blake Music Boosters Membership & General Donations

Credit Card