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Club Application

Club Application
Membership entitles you to our monthly newsletter, The Mañana Times, which includes information regarding our regional and statewide phlockings, community events, special discounts, VIP passes, and much more!

Membership Dues Are:
$20 Single Membership
$25 Couple / Family Membership

Adults are 16 and over, keets are 15 and under!

You can now pay your membership dues in one of two easy ways! Either click here to open our application in PDF form, print and mail it in! Or, pay through PayPal*! To pay through PayPal, complete the below form and click submit. You’ll be taken to another page with the PayPal payment information. It’s that easy!
*There is a $1 processing fee for paying online.

PARROTHEAD #1:

Your First Name (required)

Your Last Name (required)

Your Knickname

Your E-mail (required)

Phone (required)
(please include area code)

Birthday (required)
(mm/dd/yy)

PARROTHEAD #2:

First Name (2)

Last Name (2)

Knickname(2)

E-mail (2)

Phone (2)
(please include area code)

Birthday (2)
(mm/dd/yy)

Address (required)

City (required)

State (required)

Zip (required)

Affiliations / Special Skills:

May we contact you to help out at club events?
 Yes No

The activities I am interested in are:

My favorite Jimmy Buffett song is:

And here is why:

The closest I came to meeting Jimmy was:

Keets are 15 and under!

Parakeet Names:
Keet #1:

Keet #1 Birthday: (mm/dd/yy)

Keet #2:

Keet #2 Birthday: (mm/dd/yy)

Keet #3:

Keet #3 Birthday: (mm/dd/yy)

Keet #4:

Keet #4 Birthday: (mm/dd/yy)

How did you hear about us?

Membership entitles you to our monthly newsletter, The Mañana Times, which includes information regarding our regional and statewide phlockings, community events, special discounts, VIP passes, and much more!

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Please enter the above before submitting the form.

Please only hit the submit button once. The form will process, take a moment, then redirect you to the membership payment page.