Clone of District VI Membership Form 2025-26

LMEA District VI Membership Form

2026-27 School Year
Annual Membership Fee: $25.00

Late Fee: $5.00

Kindly submit your payment by October 1st to avoid a $5.00 late fee.

If you need a quote or invoice for your school, please email Nicole Lawnicki at District6.bandinfo@gmail.com.

Payment types: Card, Apple Pay, Check or Cash

Payment can be made via:
- this form (electronically)
- in person with any payment type (meetings/anytime you see Nicole) , or
- mailed to the address below
Make all checks payable to DBDA VI, Inc.

Mail payments to: Nicole Lawnicki, Treasurer DBDA
c/o Kenner Discovery Health Science Academy
201 Vintage Dr.
Kenner, LA 70065
Name

First NameLast Name
School
(if applicable)
Position/Title
Principal's Name
(if applicable)
School Address (if applicable)

Street Address

Street Address Line 2

CityState

Zip Code
School Phone Number (if applicable)
Please enter a valid phone number.Format: (000) 000-0000.
Personal Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
School E-mail address (if applicable)
example@example.com
Preferred E-mail address (for all District VI communication)
example@example.com
Home Mailing Address

Street Address

Street Address Line 2

CityState

Zip Code
Area(s) of Teaching

Other
Notes about membership privileges:
Our members can attend all District VI events for free. Music teachers must have a current membership in order for their students to participate in any LMEA-related event. All music teachers are expected to volunteer and participate in each event where their students are present.
Duration of membership

Memberships are active for one year starting from your date of payment.

Membership Dues

Pay Online Now (card/electronic)

26-27 School Year

$25.00 Quantity

Late Fee (Select this if past Oct. 1st)

(only for payments made after October 1st)

$5.00 Quantity

School will send a check via mail

Free Quantity

Select if you will Pay/Paid in person to Nicole (cash, check, card, Apple Pay)

Free Quantity

Subtotal

Tax

Total

Payment Methods

Credit Card

Apple Pay

Google Pay

Cash App Pay

Should be Empty:

LMEA District VI Membership Form

Membership Dues*

Payment Methods

Membership Dues