Second Wind Parrot Head Club

Fins up and welcome to our tropical paradise of music, friendship, fun, and community service!

Welcome to the Second Wind Parrot Head Club membership application form.
Club dues are $30 per person per year, payable on or before January 1st of the membership year. Payments are NOT tax deductible.

🖶 Print a Hardcopy Application

New Member or Renewal? *

Membership Year *

First Name *

Last Name *

Phone Number (optional) Format: xxx-xxx-xxxx

Email Address *

Street Address *

City *

State *

Zip Code *

Birthday (optional) Format: mm/dd

T-Shirt Size (optional)

Nom de Phlock (optional) Your Parrot Head name — used for your membership badge

Favorite Charities (optional)

🖶 Print a Hardcopy Order Form

Front of Shirt

Back of Shirt

Men's Style

Women's Style

The T-shirts are 100% Cotton, flattering, side-seamed and contoured fit.

Crafted from a durable 5.4 oz cotton. The shirts are a colorful tropical green

*The shirts will be delivered with your new member packet at the next event or meeting.*

Place Your Order

Name *

Email *

Phone (optional)

Select Your Shirts

$25.00 each • Maximum 8 shirts per order • PayPal fee: 3.49% + $0.49

Size	Men's	Women's
XS
S
M
L
XL
2XL
3XL
4XL

Total Shirts: 0 / 8

Subtotal: $0.00

PayPal convenience fee (3.49% + $0.49): $0.00

Estimated Total: $0.00

Shirt prices include all local taxes

Event Registration

Select the event(s) you'd like to attend, add your contact information, and submit. You'll receive a confirmation email, and our Activities Director will be notified.

Jerry Diaz

Number of guests (including you)

When: August 8 6PM - 9PM

Where: Memorial Trail Ice House (6202 Washington Ave 77007

The club will be collecting school supplies

Board Meeting

Number of guests (including you)

When: August 9, 2PM

Where: Juarez Mexican Restaurant (4145 Gessner Rd 77080

Get involved with your club and come see how the Sausage is made!!

End of Summer Pool Party

Number of guests (including you)

When: Sept. 19th, 3PM

Where: Ron & Marci's house

This is a members only pool party and space is limited. Sharkey Finley will be playing! The club will provide the main dish. Show off your cooking skills by helping out and bringing a side dish!!

Your Information

Name *

Email Address *

Phone Number (optional)

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Place Your Order

Select Your Shirts

Event Registration

Your Information

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