New Membership Application Gems

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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:

_____________________

Date Dues Paid:

_____________________

Grade Point Average:

_____________________

Date Financial Obligations Checked: New Membership Application | Page 4 of 5

_____________________

Gladiator GEMS Hialeah Gardens High School 11700 Hialeah Gardens Boulevard. Hialeah Gardens, FL 33018. (305) 698-5000

New Membership Application | Page 5 of 5

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