Bronze Membership

$75.00

* 1 DIS TSHIRT * 1 REUSABLE BAG * 1 VOTING MEMBERSHIP * TAX DEDUCTION VALUE: $60

School Year *

Member 1 This will be the primary contact

First name *
Last name *
Email *
Mobile *
Member type *
Address (street # and street only) *
Child 1 grade *
Child 1 name *
Child 1 teacher *
Child 1 tshirt size *
Child 2 grade
Child 2 name
Child 2 teacher
Child 3 grade
Child 3 name
Child 3 teacher
Child 4 grade
Child 4 name
Child 4 teacher
Does your (and/or your spouse's) employer participate in a matching gift program? *
Tax benefit business name (if membership paid by business)
Waive all benefits (for 100% tax benefit) *
Would you like to volunteer? *