Menu
Home
About Us
Bylaws
Initiatives
What’s Happening
Upcoming Events
Let’s Connect
Membership
Careers
Join
Join
MEMBERSHIP FORM
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Name
*
Street Address
*
Preferred Method of Contact (select one)
*
Phone
Email
Mail
Email
*
Phone Number
*
Mailing Address
If different than above
Please indicate your primary connection to the Bankhead community (check all that apply):
*
Current resident
Former resident
Long-term inhabitant (10 years or more)
Business owner/operator in Bankhead
Unhoused in the Bankhead area
Connected through family or community ties
Other
If you selected former resident, long-term inhabitant, or other, please briefly explain your connection:
Current Employment Status (check all that apply):
*
Employed
Student
Disabled
Veteran
Unemployed
Retired
Children in Household:
*
Yes
No
If yes, number of children living in the household:
What is your best memory of Bankhead?
What is the hardest thing you remember or see in Bankhead?
Bankhead Address Email
Communication and Media Consent:
*
I consent to receive communications from the organization, including updates, event information, and relevant announcements via email, phone, or text.
I consent to the use of photographs, video, and audio recordings of me for promotional, educational, and informational purposes related to the organization or event.
I do not consent to media use or to receiving communications from the organization.
Membership Agreement
*
By submitting this application, I affirm that the information provided is accurate to the best of my knowledge and that I support the mission and values of the Bankhead Community Association.
Date
*
Print Name
*
First
Last
Submit
