MOTB Registration > Step 1 of 2: Submit

MOTB Registration

Please fill in this form with all of the requested information. Please complete a registration form for each member of your party.

First Name *

Last Name *

Parrot Head Club Affiliation

Street Address *

Street Address (continued)

City *

State *

Zip Code *

Home Phone Number *

Cell Phone Number

email address *

I would like to volunteer to help with:

Registration

Merchandise Booth

Raffle

Security

*NO REFUNDS * NON-TRANSFERABLE * NO PERSONAL LIQUOR OR ICE CHESTS WILL BE ALLOWED. All funds from cancellations will be donated to charity. MOTB is an adult event. Registrations will not close. Registrants after February 7th may not a Goodie Bag.

Music on the Bay Registration

Music on the Bay Registration ($67 USD)

If paying by check, please make your check payable to: Music on the Bay. Mail checks to: Music on the Bay Tampa Bay Parrot Heads in Paradise Club P.O. Box 2895 Dunedin, FL 34697 Print and attach this form

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