Membership Agreement X/TwitterThis field is for validation purposes and should be left unchanged.Threshold Choir Vision: A world where all at life’s thresholds may be honored with compassion through song. Threshold Choir Mission Statement: Singing for those at the thresholds of life. Threshold Choir Membership The Threshold Choir is a volunteer network of a cappella singers who gently sing for and with those at the thresholds of life in communities around the world. Members of the organization are eligible for the following: Bedside Singer training Connection to a vibrant community of singers Permission to represent Threshold Choir Liability insurance coverage for Bedside Singers Participation in Threshold Choir community events Attendance at Threshold Choir national and regional gatherings Access to the Threshold Choir website including: Threshold Choir repertoire & sound files Education via Zoom for directors and singers Monthly newsletter Members of the Threshold Choir present a kind and compassionate presence to those for whom we sing as well as toward one another. We commit to practicing compassionate communication, to listening for what is true in every communication and to speaking with clarity and kindness. When invited to the bedside, we offer only our gift of song. In this capacity, we do not initiate touch, but honor and comply with protocols in the medical environment, which restricts touching to those who are licensed to do so. We refrain from assisting patients and seek assistance of a facility provider or personal caregiver when needs such as repositioning, eating or drinking arise. Membership Agreement I agree to maintain member status in the Threshold Choir organization, adherence to organizational policies and participation/affiliation with a local chapter. I agree to not initiate touch or assist patients with caregiver responsibilities at the bedside. I agree to honor regulations regarding privacy of patients, as detailed in HIPAA (click here to review the document). I agree to honor and respect the diversity of members, patients, caregivers and healthcare providers to help ALL feel welcome, seen and heard in their reality. I agree to respect the use of the Threshold Choir repertoire and specifications of individual songwriters for use of their music. The repertoire is only to be used in alignment with the Threshold Choir mission. I agree to honor all policies set forth by the Threshold Choir organization. These policies may be updated and expanded from time to time. I agree to demonstrate a respectful demeanor when representing Threshold Choir and to communicate with kindness and compassion toward all members of our Threshold Choir community and the people we serve. Updated: January, 2023 If you DO NOT agree to fully abide by this policy when singing at bedsides, please click here. Thank you! If you agree to fully abide by this policy when singing at bedsides, please indicate your agreement by entering your name in the box below and clicking “Submit Form”. Thank you! Membership fees are non-refundable.First Name(Required)Last Name(Required)Home Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Email(Required) Two values underlie recommendations regarding Threshold Choir Member Contributions: Contributions should be based on the actual costs of operating the organization (currently $84 per member). The inability to pay should never be a barrier to membership. In consideration of this, you are encouraged to make a contribution that is generous, affordable, personally significant, and reflects the value that Threshold Choir brings to you and your community. Some members will have the means to contribute at the “per member” cost of $84 or $7.00 per month. Some members will have the means to give at higher or lower levels. To sustain Threshold Choir, the goal is for membership contributions to cover the costs of operating Threshold Choir. We are working to resolve some technical issues with Paypal, so that option is not currently available; we appreciate your patience.Payment Frequency(Required) Annual Monthly If you choose monthly payments, the amount will automatically be paid to Threshold Choir each month.Membership Agreement: Annual Payment (USD)(Required) $120.00 annual membership contribution $84.00 annual membership contribution $60.00 annual membership contribution Other (please specify) Membership Agreement: Monthly Payments (USD)(Required) $10.00 monthly membership contribution $7.00 monthly membership contribution $5.00 monthly membership contribution Other (please specify) This field is hidden when viewing the formPayment Amount(Required) Other (please specify) Other Annual Membership Contribution Amount(Required) Minimum donation of $1 required.Other Monthly Membership Contribution Amount(Required) Minimum donation of $1 required.Payment Method(Required) Check (Annual payments only. Please send checks to Threshold Choir, PO Box 8496, Santa Rosa CA 95407.) Credit Card (via Stripe) Credit Card(Required) Payment MethodFeed Required: To use the PayPal Checkout field, please create a PayPal Checkout feed for this form.Total AmountUsername(Required)This field is hidden when viewing the formUsername (deprecated, hidden)Password(Required) This field is hidden when viewing the formPassword (deprecated, hidden)Membership Agreement(Required) I agree to the membership agreement.Error: Monthly membership contributions cannot be paid by check. We cannot accept checks for monthly memberships at this time. To complete your membership agreement form, please either change your payment frequency to Annual (to pay by check), or your payment method to Credit Card.
