Your Name (required)

Your Birthdate

Street Address (required)

City (required)

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Zip Code (required)

Phone Number (required)

Email (required)

If this is a family membership please complete the following:

First Mate's Name

First Mate's Birthdate

First Mate's Email

Children are welcome at most of our events....we call them keets! If you have keets at home that will be joining also please fill out following information.

#1 Keet's Name

#1 Keet's Birthdate

#2 Keet's Name

#2 Keet's Birthdate

#3 Keet's Name

#3 Keet's Birthdate

#4 Keet's Name

#4 Keet's Birthdate

Each member of Ocean State Parrot Head Club Inc. is responsible for his or her own actions and behavior both positive and negative.

• Membership in this Club does NOT give the member permission to use Jimmy Buffett’s name, song titles or lyrics, names of his businesses, websites, or any other trademarked, copyrighted, or reserved material(s) owned by Mr. Buffett, Margaritaville.com, Margaritaville Records, radio, restaurants, or stores. Nor can any member use the logo or name of the OSPHC or Parrot Heads in Paradise Inc. without first getting written permission.
• By submitting this form you are agreeing to these terms and any other terms/rules set forth by the Ocean State Parrot Head Club during your time as a member. Rules and terms may change; you will receive notice and any changes to rules/terms will be posted on our website www.osphc.com. It is your responsibility to keep updated on any such changes.