MEMBERSHIP FORM
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E-mail
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example@example.com
Student Information
Student Name
First Name
Last Name
Teacher
K-Lewis AM
K-Lewis PM
K-Butler AM
K-Butler PM
1-Jacob
1-Madigan
1-Wellman
2-Livingston
2-Murphy
2-Schug
3-Anderson
3-Cornejo
3-Purtle
4-Campos
4-Morrison
4-Reller
5-Bellas
5-Bullington
5-Oslund
6-Fleming
6-Roberts
6-Schlauderaff
7-Galligher
7-Matthias
7-Rella
8-Dwyer
8-Finn
8-Scott
Student Name
First Name
Last Name
Teacher
K-Lewis AM
K-Lewis PM
K-Butler AM
K-Butler PM
1-Jacob
1-Madigan
1-Wellman
2-Livingston
2-Murphy
2-Schug
3-Anderson
3-Cornejo
3-Purtle
4-Campos
4-Morrison
4-Reller
5-Bellas
5-Bullington
5-Oslund
6-Fleming
6-Roberts
6-Schlauderaff
7-Galligher
7-Matthias
7-Rella
8-Dwyer
8-Finn
8-Scott
Student Name
First Name
Last Name
Teacher
K-Lewis AM
K-Lewis PM
K-Butler AM
K-Butler PM
1-Jacob
1-Madigan
1-Wellman
2-Livingston
2-Murphy
2-Schug
3-Anderson
3-Cornejo
3-Purtle
4-Campos
4-Morrison
4-Reller
5-Bellas
5-Bullington
5-Oslund
6-Fleming
6-Roberts
6-Schlauderaff
7-Galligher
7-Matthias
7-Rella
8-Dwyer
8-Finn
8-Scott
Student Name
First Name
Last Name
Teacher
K-Lewis AM
K-Lewis PM
K-Butler AM
K-Butler PM
1-Jacob
1-Madigan
1-Wellman
2-Livingston
2-Murphy
2-Schug
3-Anderson
3-Cornejo
3-Purtle
4-Campos
4-Morrison
4-Reller
5-Bellas
5-Bullington
5-Oslund
6-Fleming
6-Roberts
6-Schlauderaff
7-Galligher
7-Matthias
7-Rella
8-Dwyer
8-Finn
8-Scott
Please list for whom the membership(s) is/are being purchased. Memberships are $10.00 per person. All are welcome to join. Parents, Grandparents, Aunts, Uncles, Students, Staff, and Community Members.
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