ATSSB Membership Application Form - Association of Texas Small School Bands

First Name *

Last Name *

Last four SS# (Just the last four numbers: xxx-xx-####) *

TMEA #

Enter zeros (0) at the front of your number if the TMEA number is less than 6 digits.

School *

Please enter the type of school

Class of School 2022-2024

Region

Title

School Phone

If using an extension number, use blank below.

Extension

If adding an extension, put extension numbers here.

Best time to call

High school your school feeds

For middle schools

How many directors are on staff in your school district?

Are you new to this region

School Address

Address Line 1

Address Line 2

City

State

Zip Code

Email

Home Address

Address Line 1

City

State

Zip Code

Home Telephone

Please use this format: 123-456-7890

Cell Phone

Please use this format: 123-456-7890

Major Instrument(s)

Are you a judge listed with the Texas Music Adjudicators Association?

If "Yes" above, check area(s) of certification

Membership Type

Comment or Message

Additional information we may need to know?