2009-2010 Membership Form
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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.
________________
__________________________ 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
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.
________________
__________________________ 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
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