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  • Membership Form

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    jenniferwei
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    This document is a registration form for a Key Club that collects a student's personal contact information, emergency contacts, interests, extracurricular activities, and asks them to sign acknowledging their application. It requests the student's name, grade, phone number, email, home address, emergency contacts' names, numbers, relationships and emails. It also asks about the student's interests, other organizations they belong to and positions held, other extracurricular activities, and anything else relevant to know about the student.

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    This document is a registration form for a Key Club that collects a student's personal contact information, emergency contacts, interests, extracurricular activities, and asks them to sign acknowledging their application. It requests the student's name, grade, phone number, email, home address, emergency contacts' names, numbers, relationships and emails. It also asks about the student's interests, other organizations they belong to and positions held, other extracurricular activities, and anything else relevant to know about the student.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    404 views1 page

    Membership Form

    Uploaded by

    jenniferwei
    This document is a registration form for a Key Club that collects a student's personal contact information, emergency contacts, interests, extracurricular activities, and asks them to sign acknowledging their application. It requests the student's name, grade, phone number, email, home address, emergency contacts' names, numbers, relationships and emails. It also asks about the student's interests, other organizations they belong to and positions held, other extracurricular activities, and anything else relevant to know about the student.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
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    of 1

    KEY CLUB

    Personal Contact Information (Please also register at www.tinyurl.com/fremontkeyclub)


    Name: _______________________________
    Grade: ________________
    Phone Number: _______________________

    Text?(circle one) Yes No

    Email Address: ___________________________________


    Home Address: ______________________________________________________
    Emergency Contact (Please also register at www.tinyurl.com/fremontkeyclub)
    Name: ________________________

    Name: ________________________

    Number: ______________________

    Number: ______________________

    Relationship: __________________

    Relationship: __________________

    Email: ________________________

    Email: ________________________

    What are some of your top interests?


    What other organizations do you belong in? List any offices held.
    What other extra-curricular activities do you participate in?

    It is our aim to get to know you as well as possible through this application. With this in
    mind, please list any concerns, experiences, or anything else you would like us to know.

    ________________________
    Applicants Signature
    Date

    ________
    Date

    ________________________
    Parents Signature

    ________

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