Member Application

Membership in the Orpheus Male Chorus is open to men at least 18 years of age. Please fill out the form below and submit your application today.

Member Application

First Name *

Middle Initial

Last Name *

Email *

Spouse or Partner's Name

(If Applicable)

Are you a returning former member? *

Yes

Street Address *

City *

State *

Zip *

Part *

Employer *

Occupation *

Place of Birth *

City, State | City, Country Outside U.S.

Date of Birth *

Ethnicity (Grant Applications) * Ethnicity (Grant Applications)

Main Phone Number *

Work Phone Number

Mobile Phone Number

Emergency Contact Name *

Emergency Contact Phone *

Name of friend who is a member, or name of person who invited you to join:

(If applicable)

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