Federated Senior Club Membership

Please provide the information for yourself and your adult students.

Teacher Name Teacher Name First Last
Teachers: Please provide all required information with each entry. Only pay your fee as a teacher one time each year. When submitting additional adult students, do not count yourself in the total number submitted.
Teacher Address Teacher Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Teacher Email
Teacher Phone Number Teacher Phone Number - ### - ### ####
District

District Central Gwinnett North Gwinnett West Gwinnett Unassigned

Teachers have been assigned a district based on their geographic location, instruments, and space available. If you have not yet been assigned a district, select "Unassigned."
Adult Student Name
Teachers must register Adult Students in order for them to participate in Federated Festivals. The registration fee for adult students is $12 per person. Adult Student Name
Teachers must register Adult Students in order for them to participate in Federated Festivals. The registration fee for adult students is $12 per person. First Last
Adult Participants are age 19+ at the time of the festival and will perform and be adjudicated.
Adult Student Address Adult Student Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Adult Student Email Address
Total Entries
Note: for each new entry there is a $12 fee.
Only pay your fee as a teacher one time each year. When submitting additional adult students, do not count yourself in the total number submitted.

Submit payment via Zelle to events@gcmta.org. Or mail check to: Nancy Morris, 3125 Dogwood Creek Pkwy
Duluth, GA 30096
Total Amount Due $ Dollars . Cents
Total Amount Paid $ Dollars . Cents
Payment Method

Payment Method Zelle (preferred) Check Other Other