2009-2010 Membership Form

2009-2010 Membership Form Name ______________________________________ ________

Year of Graduation

Address _________________________________________________ ________________________________________________________ Home Phone ______________________ ________________________

Cell

Phone

Email _____________________________ Facebook? Yes/No

Facebook name __________________________

Homeroom Teacher _______________ _________________

Room # _________

T-Shirt Size

Registration and Club Dues: • •

$15.00 cash or check to Central Bucks East Activities Fund (covers cost of T-shirt) Hand in this registration form and check/cash to Ms. Conn in room 229 by 10/15

Membership Guidelines: • •

• • • •

Members should have a genuine interest in supporting local farms and community Members are expected to participate in activities/volunteer opportunities sponsored by Eat Your View during the school year. Participation may include coming up with ideas, planning, promoting and/or attending Members are expected to attend most of the meetings. Contact Ms. Conn beforehand if you are unable to attend. Eat Your View will meet once a month. You will be notified by email/Facebook regarding important information. Please check whichever you use regularly.

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__________________________ Date

Student Signature Please have your parental guardian(s) read the back and sign approval. I give my son/daughter permission to participate in activities* through CB East Eat Your View Club for the 2009-2010 school year. *-During school hours (such as bake sales) -After school hours at school (such as helping out in the Green House, attending meetings) -Outside of school (Volunteering at farms, pumpkin picking) Please keep in mind these are just a few examples. The club does not have everything planned out just yet, but if you would like additional information or have questions please feel free to contact Tricia Conn, the club’s teacher advisor, at [email protected]. Thanks for your support! ________________

__________________________ Date

Parent Signature