Parrot Heads of Puget Sound (PHoPS) Membership Request

We'd love for you to join our club! We have two easy ways to do it:download our Membership Form in Adobe Acrobat format and mail it in (you'll need Adobe Acrobat Reader) OR fill out the easy online form below.

Please feel free to email our Membership Director if you have any questions!

Have a great day and PHins up!!

First Name: Last Name:
Address 1:
Address 2:
City: State: Zip:
Home Phone: Work Phone:
Birthdate: E-mail address:
Occupation in real life:

Tell Us about yourself:

Do you have Parakeets (kids)? Names and Ages?:

Favorite Charities:

Favorite Interests & Hobbies:

Favorite Hangouts & Drinks:

Favorite Buffett Songs:

How did you hear about us?:

Parrot Heads of Puget Sound is a social charity club. Our Goals are to help our community, improve the environment, make new friends and HAVE FUN!! Dues: $30 single/$45 couple. Make checks payable to: "Parrot Heads of Puget Sound" or "PHoPS". By signing this document I swear that the information provided by me is accurate and true to the best of my knowledge. I understand that this application does not guarantee membership in the Parrot Heads of Puget Sound "Webfoot Children in the Rain". Each member of the Parrot Heads of Puget Sound is responsible for their own actions and behavior - positive or negative. I understand that membership can be revoked at any time. Membership in the club does not give license to use Jimmy Buffett's name, song titles, lyrics, names of businesses or other trademarked, copyrighted or reserved material owned by Jimmy Buffett. Use of the name "Parrot Heads of Puget Sound", "PHoPS", or "Webfoot Children in the Rain" given by permission only. Membership dues paid to the Parrot Heads of Puget Sound are not deductible as a charitable contribution for federal income tax purposes. I have read, and agree to adhere to, the PHoPS Bylaws, available as a link at the bottom of this page or from any PHoPS officer.
Please read all of the text above, and indicate your agreement by clicking the "Yes" button and entering the current date below. PLEASE NOTE that if you do NOT agree by clicking "Yes", we can not accept your request for membership.
	Yes No
	Date:

Parrotheads of Puget Sound Bylaws available HERE.