Gladiator GEMS Hialeah Gardens High School 11700 Hialeah Gardens Boulevard. Hialeah Gardens, FL 33018. (305) 698-5000 New Membership Application 2009-2010 School Year
Contact Information Name: _______________________________________________________________________________________ Student ID #: __________________
Grade: ________________
Date of Birth:
_________________ Address: _____________________________________________________________________________________ City/Town:
__________________
State: __________________
ZIP Code:
___________________ Cell Phone #:
_______________________________
Can you receive text messages? ___Yes
___No Home Phone #:
____________________________
E-mail Address: ________________________________________________________________________________ Class of:
2010 _________
2011 __________
2012 _________
2013 _________
Schedule Subject
Teacher
Room
New Membership Application | Page 1 of 5
Gladiator GEMS Hialeah Gardens High 11700 Hialeah Gardens Boulevard. Hialeah Gardens, School FL 33018. (305) 698-5000
Questionnaire Are you an officer in any other club at school? If yes, how would you juggle all of your responsibilities? ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ Would you be able to attend all the home games this season? Away games? ____________________________________________________________________________________________ Why do you love baseball? Explain why you want to be a GEM. ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ Are you willing to participate in various fundraisers we have throughout baseball season? ____________________________________________________________________________________________ Do you have a MySpace or a Facebook? _____________________________________________________________________________________________ Would you be able to participate in voluntary community service activities? ____________________________________________________________________________________________
New Membership Application | Page 2 of 5
Gladiator GEMS Hialeah Gardens High School 11700 Hialeah Gardens Boulevard. Hialeah Gardens, FL 33018. (305) 698-5000 What are some of your best qualities? Are you a leader? Are you a good writer? Are you computer savvy? ____________________________________________________________________________________________ ____________________________________________________________________________________________
New Membership Application | Page 3 of 5
Gladiator GEMS Hialeah Gardens High 11700 Hialeah Gardens Boulevard. Hialeah Gardens, School FL 33018. (305) 698-5000 Membership Contract As a member of the Gladiator GEMS, I will attend all meetings and participate in all club activities. I will earn at least ten community service hours this school year. I will participate in all required games, including all fundraising activities. I will abide by the Gladiaror GEMS and Hialeah Gardens High School code of conduct and will be a good representative of my club, school, and community. ____________________________________________________ ____________________________________ Prospective Member’s Signature
Date Signed
My daughter has my permission to join the Gladiator GEMS. I will allow my daughter to attend lunch meetings on Mondays. I understand that my daughter will attend and participate in weekly baseball games. I understand that away games are completely voluntary and that each GEM must arrange their own transportation to and from all games. I also understand that she will be responsible for participating in fundraising activities to raise money for the club as well as the school’s baseball organization. I also understand there is a $15 club fee and a $50 uniform fee. There will be fundraising opportunities for those that choose to.
___________________________________________________ ____________________________________ Legal Guardian’s Signature
Date Signed
___________________________________________________ ____________________________________ Legal Guardian’s Printed Name
Phone Number
Please note that the annual membership dues are $15.00. Office Use Only Date Application Submitted:
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Date Dues Paid:
_____________________
Grade Point Average:
_____________________
Date Financial Obligations Checked: New Membership Application | Page 4 of 5
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Gladiator GEMS Hialeah Gardens High School 11700 Hialeah Gardens Boulevard. Hialeah Gardens, FL 33018. (305) 698-5000
New Membership Application | Page 5 of 5