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  Membership
  Application


To apply for membership, please fill in the information below and click "Submit". You'll receive an automated e-mail confirming that your application was received. That e-mail will contain instructions for mailing payment.

Be sure to e-sign the code of conduct before submitting.

Name of primary member:  
Address:  
City    State    Zip  
E-mail address:  
Telephone #:  
Birthday:   (month & day)

Check either Individual or Family membership:
  Individual Membership is $30 per year.
  Family Membership is $40 per year for up to four family members and $5 for each additional family member.

List family member names, birthdays, and e-mail information. (Birth year is not necessary.)
Name Birthday E-mail  
$40
 
 
+$5
+$5
+$5

Interest and Abilities: (Please write in what you might be interested in, or any skills that you have that we might put to use within the club.)


Please read the following and e-sign below:

Club membership is good for one year from Member's Original Anniversary date.

Club membership is open to all people expressing an interest in the music of Jimmy Buffett and the charitable endeavors of the Parrothead Organization. Membership is available to individuals under 21 years of age for participation in our charitable events.

The Pirates of the Rockies Durango Parrot Head Club love Jimmy Buffett Music, the Beach, Dancing, Margaritas, Coronas, Cheeseburgers, laughing, getting together for concerts, parties and a good time, raising money for local charities and participating in charitable events and environmental causes. Got any ideas for our club?

The Pirates of the Rockies Durango Parrothead Club
CODE OF CONDUCT

It is the intention of the Durango Parrot Head Club (DGOPHC) to provide social and charitable activities for the enjoyment and benefit of all our members, guests, hosts and charities. All members of the organization shall be required to treat fellow members, guests and hosts and their personal property with respect. Members of the DGOPHC, by acceptance of their membership agreement, agree to demonstrate personal responsibility for their words, actions and deeds and not to exhibit behaviors that are harmful to themselves and other members, guests and hosts or their personal property. We seek to provide a pleasant atmosphere in which to share our common interest in the music and tales of Jimmy Buffett and to further the charitable ideals that we seek to uphold.

The DGOPHC will not condone behavior contrary to our objectives nor that which we feel is harmful or injurious to others. By virtue of your membership in the DGOPHC you have indeed agreed to "Party with a Purpose" in a most responsible fashion.

Our bylaws read the following…
If the Executive Committee determines by majority vote between anniversary dates that a person does not meet the requirement of the membership stated in Article III, Section B and/or the "Code of Conduct", the Executive Committee can at their discretion, refund a portion of that person's dues, pro-rated by the number of days remaining until the Club anniversary date, and/or terminate membership in the organization and all rights and privileges therewith.

I have read and agree to abide by the above code.

E-sign in the following field by placing two slashes on each side of your full name. e.g. //John Doe//
e-sign       Date: