Great Lakes Harmony Brigade Great Lakes Harmony Brigade


2018 Registration Form


All bold fields must be filled out.

I am registering as a:
    GLHB Member - Regular (Member List)
    GLHB Member - Requesting Silver Emeritus(Member List, Emeritus Info)
    GLHB Member - Requesting Gold Emeritus (Member List, Emeritus Info)

First Name: Last Name:

Voice Part: Tenor Lead Baritone Bass

Nick name for name tag:

BHS Member #:

Street Address:

City: State: Zip Code:

Email:

Cell Phone #: (may be used on Rally weekend to contact you)

Home or Work Phone #:

Special Health Issues, Allergies, Critical Medications, dietary limitations, etc. which we should be aware of:


Emergency Contact Name:

Emergency Contact Phone:


Name of person you want to room with:
Price of registration is based on double occupancy. If left blank a roommate will be assigned.

I want to pay an additional $106 for a Single Room.

You must have or purchase a Brigade shirt to sing on the Saturday evening show.
Provide your shirt size or indicate you already have a shirt.

If you would like to make a Contribution to the Charles Rose Scholarship Fund(more info here) please enter dollar amount here: $

Additional Learning Track CD's for other Parts are available for $15/each. (Check the ones you would like)
**Don't select your own part, as that CD is included**
  Tenor           Lead           Bass           Bari

Payment Details

(Select One) Pay in Full                 Pay Deposit (Balance of $115 due at Rally)

Payment Method: (Select One)
Online via Paypal or Credit/Debit Card (4% fee to cover online charges)
Mail in a Check

Registration Due: $
New Shirt: $
Single Room: $
Tenor CD: $
Lead CD: $
Bass CD: $
BariCD: $

SubTotal: $
Online Payment Fee: $ $

Scolarship Donation: $
Total Due with Registration: $
Balance Due at Rally: $
**If issue with total, ensure you allow site(harmonybrigade.org) in any Script Block programs**


Clicking Submit will send your registration and take you to a page to print out summary to mail with check or a link to click on for Paypal Payments.

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Email webmaster@harmonybrigade.org with any problems.