Name:

Address:

Phone:	home
	work

E-mail address:

Membership Type:
Participating member ($125.00 dues, additional members from same family pay associate rate.)
Student member ($50.00 dues, for younger participating members who are students in school, grades 4-12.)
Associate member ($40.00 dues. Receives newsletter and member discount for workshops and special events.)
Interest-only list (Interested in receiving Concert and Workshop notifications).

Scholarship assistance is available.

Recorders I can play in performances (list in order of preference):

1. Sopranino Soprano Alto Tenor Bass Great Bass
2. Sopranino Soprano Alto Tenor Bass Great Bass
3. Sopranino Soprano Alto Tenor Bass Great Bass
4. Sopranino Soprano Alto Tenor Bass Great Bass
5. Sopranino Soprano Alto Tenor Bass Great Bass

Other instruments/vocal parts I can play in performances:

Other performance experience:

To join the Mid-Peninsula Recorder Orchestra, please fill out and submit this form, and then print out a copy and bring it with your check to the next MPRO rehearsal!