Teacher Membership Registration Form

Thank you for your interest in the Brick Store Museum's Free Teachers' Membership Program! To register for a free teacher's membership from the Museum, you must be a licensed educator at any school, public or private, child care through 12th grade, in York County. You may sign up by completing this online form, or visit the Museum at 117 Main Street in Kennebunk. Should you have any questions about the Program, please contact Deborah Williams at dwilliams@brickstoremuseum.org, or at (207)985-4802.

First Name (required)

Last Name (required)


Your Mailing Address

Street (required)

City and State (required)

Zip Code (required)

Phone (required)

About You

Where do you teach? (required)

(Please enter school name)

What grade do you teach? (required)

(Please enter grade level(s))

School Address (required)

(Street address, town and zip)

I would like to be a Green Member (all correspondence sent via email; no paper used!). Yes No