High Five Membership Form

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Tell us about what you're interested in so we can connect you to the right resources!

Please watch the Orientation video linked in the right sidebar. Orientation is required for membership, and will provide answers to frequently asked questions.

Video not working? Copy this link and paste it into your browser:
https://youtu.be/b2s7LFyjKHk

Family or Non-Profit Members

Include a submember in your membership registration.

Individual Membership

Avon/Vail Resident Membership

Family Membership

Nonprofit Membership

I would like to automatically renew my membership

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What numbered parking spaces should you use when arriving at the studio?

#202

#203

#204

#205

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Nonprofit Name

If registering for a nonprofit membership

First Name *

Last Name *

Submit as a company

Email *

Phone 1 *

Mailing Address Line 1 *

Mailing Address Line 2

Physical Address

If different from mailing address

Mailing City *

Mailing State *

Mailing Zip/Postal Code *

Country *

How did you hear about us? *

Adult Sponsor (if individual is between 14 and 17 years old)

Membership Agreement *

I agree, to the extent allowed by law, to indemnify and hold harmless High Five Access Media (HFAM), the towns of Avon and Vail, Comcast and any of their employees, officers, Board of Directors, stockholders, volunteers, etc., from any and all claims, demands, damages or other liabilities which may be made against or arise out of membership or the production or cablecasting of programs. By signing the Membership Form, I agree to abide by the Community Access Policies and Procedures. I also grant permission to use my name and audio and/or video recording(s) for video program(s) produced by High Five Access Media. I understand that permission allows HFAM to distribute the production on the Comcast cable system, other access stations, the internet and other distribution outlets available to HFAM. I also agree to receive periodic communications from HFAM by mail or email. All of the information provided in this form is true and accurate.

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Include a submember

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Choose Existing Contact(s)

Membership Level *

I would like to automatically renew my membership

First Name *

Last Name *

Email *

Add {{subMemberDisplayName}}

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Discount Code

Code:

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Order summary

Subtotal {{formatAmount(orderSummary.subtotal)}}

Discounts -{{formatAmount(orderSummary.discounts)}}

Total {{formatAmount(orderSummary.total)}}

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Card

Pay Later

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Cardholder First Name *

Cardholder Last Name *

Cardholder Email

Card *

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Address Line 1

Address Line 2

City