Pine Hill Park, Rutland, Vermont

2024 Rock Star Membership

For your Rock Star donation of $90.00 or more, you will receive two shirts: one 100% cotton t-shirt, and one hi-tec wicking t-shirt.

Name:*

First

Last

Address:*

Street AddressCityStateZip CodeCountry

E-mail:*

Phone:

Area Code

Phone Number

Cotton T-shirt size:*

Wicking T-shirt size:*

Please Note: All Membership Levels are Individual and Famliy memberships. In order for the Partnership to quantify membership to receive grant funding, please include all members of your family that you wish to be members on the application.

Add a second family member?*

Yes

Second family member name:

First

Last

Add a third family member?

Yes

Third family member name:

First

Last

Add a fourth family Member?

Yes

Fourth family member name:

First

Last

Add a fifth family member?

Yes

Fifth family member name:

First

Last

Rock Star Membership:

After clicking the SUBMIT button, you will be directed to PayPal to complete payment processing. Please note that you DO NOT need to have a PayPal account to process payment. We utilize PayPal for Credit Card processing. However, you can also pay through your PayPal account, if you have one, as well.