Member Name
*
First Name
Last Name
Member Email
*
example@example.com
Member Cell Phone
*
-
Area Code
Phone Number
Add Another Member?
*
Yes
No
Additional Member names are needed for FAMILY MEMBERSHIP OPTION
Family Member Name
First Name
Last Name
Family Member Email
example@example.com
Family Member Cell Phone
-
Area Code
Phone Number
Student
Student Full Name
Grade
Teacher LAST Name
Student Info
Pre K
Kindergarten
1st
2nd
3rd
4th
5th
Add Another Student?
Yes
No
Please select yes to add additional students.
Student 2
Student Full Name
Grade
Teacher LAST Name
Student Info
Pre K
Kindergarten
1st
2nd
3rd
4th
5th
Add Another Student?
Yes
No
Please select yes to add additional students.
Student 3
Student Full Name
Grade
Teacher LAST Name
Student Info
Pre K
Kindergarten
1st
2nd
3rd
4th
5th
Add Another Student?
Yes
No
Please select yes to add additional students.
Student 4
Student Full Name
Grade
Teacher LAST Name
Student Info
Pre K
Kindergarten
1st
2nd
3rd
4th
5th
Membership Selection
*
prev
next
( X )
Family Membership
$
16.00
Individual Membership
$
11.00
SPES Staff Membership
$
5.00
Total
$
0.00
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