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Membership Type*
- New Member
- Renewal
Name*
First Name Last Name
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Are you an artist?
- Yes
- No
Medium
How did you learn about the Art Association?
I would like to learn about:
- Docent Program (volunteer)
- Artwork Receiving (volunteer)
- Exhibit Installation (volunteer)
- Fundraising/Sponsorships (volunteer)
- Children & Youth Programs (volunteer & teach)
- Hospitality (volunteer)
- Adult Classes & Workshops (Coordinate & Teach)
STAAA MEMBERSHIP LEVELS*
Second Adult for Family Membership*
Please list the second adult in the household. Both adults must live at the same address to qualify for a Family Membership.
First Last
Email for Second Adult
School you currently attend*
Expected Graduation Date*
MM slash DD slash YYYY
Parent or Guardian Name
Please complete only if member is under 18 years of age.
First Last
Parent or Guardian Phone
Please complete only if member is under 18 years of age.
Parent or Guardian Email
Please complete only if member is under 18 years of age.
Parent or Guardian Address
Please complete only if member is under 18 years of age.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Total
$0.00
Credit Card*
If you have trouble inputting the Cardholder Name, click the very far left of the field or press the “tab” key on your computer keyboard. For mobile devices and tablets, click on the words “Cardholder Name”. If that doesn’t work, scroll to the bottom of the form and click the “help” button.
Card Details
Cardholder Name
Consent*
BY SUBMITTING FORM AND PAYMENT, I AGREE THAT: ALL INFORMATION IS CORRECT; MEMBER IS 18 YEARS OF AGE OR OLDER OR HAS THE CONSENT OF A PARENT OR GUARDIAN TO JOIN THE ST. AUGUSTINE ART ASSOCIATION; EXCEPT FOR LIFE MEMBERSHIP, ALL OTHER MEMBERSHIP TO THE ST. AUGUSTINE ART ASSOCIATION (STAAA) IS ONLY ACTIVE FOR ONE (1) YEAR FROM SUBMISSION DATE AND WILL NEED TO BE RENEWED AFTER A YEAR; STAAA MAY SEND ME EMAIL NEWSLETTERS & COMMUNICATIONS; STAAA MEMBERSHIP DOES NOT GUARANTEE ACCEPTANCE INTO MONTHLY EXHIBITS; IT DOES NOT GUARANTEE DISCOUNTS OR AVAILABILITY ON WORKSHOPS, CLASSES, OR EVENTS; STAAA MEMBERSHIP IS NON-TRANSFERRABLE AND NON-REFUNDABLE. I HEREBY RELEASE, DISCHARGE, INDEMNIFY, AND HOLD HARMLESS THE ST. AUGUSTINE ART ASSOCIATION (STAAA) AND ANY AND ALL AGENTS OF STAAA FROM ANY LIABILITY, CLAIM, CAUSE OF ACTION, DEMAND OR DAMAGES FROM INJURY OR DAMAGES OF ANY KIND AS A RESULT OF MY PARTICIPATION IN THE MEMBERSHIP AND PROGRAMS OF STAAA. I UNDERSTAND THAT PHOTOS MAY BE TAKEN OF ME AND/OR MY ARTWORK DURING PROGRAMMING AND CAN BE USED FOR PROMOTIONS AND/OR FUNDRAISING IN PRINT, ADVERTISEMENT AND OTHER FORMS OF MEDIA.
I agree.
Name
This field is for validation purposes and should be left unchanged.

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