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This is your opportunity to be part of something special and to give something the the your fellow man.

Please complete the application below.  Come join us in our quest for "growing older but not up."

If you prefer to print the application, it is available here.  (CPHC Application).

If you have questions, please contact our Membership Director at membership@cpchc.

Membership Form

I am a:

I was referred by (if applicable)

I am a member of other Parrothead Club(s):

Name of Club(s):

Best form of Communication:

Special skills/preferred areas of participation:

Cost of Membership is $25 annually.  *This contribution is not deductible as a charitable contribution for Federal income tax purposes.

Thank you. Your application has been submitted.

The Obligatory Fine Print
* Each member of the Cincinnati PHC is responsible for his or her own actions and behavior whether negative or positive.

* Membership in the club does not give the member permission to use Jimmy Buffett's name, song titles,lyrics, names of business or other trademarked, copyrighted, or reserved material owned by Jimmy Buffett. Nor can any member use the logo of the Cincinnati Parrot Head Club, Inc., or Parrot Heads in Paradise, Inc.

** Annual dues are $25/person- R
enewals are due January 1st of each year.

Payment options:

Venmo:                                                                  US Mail:  Joe Clark                                           Credit card payment:   Please contact Joe Clark 

                                                                                                    316 Hall Avenue                                                                             via telephone: Under construction

                                                                                                    Sidney, OH  45365






If filling out printed form:

Make checks payable to: Cincinnati Parrot Head Club
Bring completed form and check to next club meeting (see events calendar)

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