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Membership Form
To join, complete the information below. Your membership isn't complete until you have paid the $35 fee and provided a receipt of payment to Mrs. Reedy.  The fee includes national/state dues and our FCCLA t-shirt. To pay dues, please see Mrs. Spencer in the office. Money is NOT collected by the teacher.
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Last Name *
First Name *
School Email Address *
How do you plan to pay dues? Please pay due to Mrs. Spencer in the office. *
Grade *
Birth date *
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/
DD
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Ethnicity *
Gender Identity *
T-Shirt Size *
7th Period (Enrichment) Teacher *
Have you ever been a member of this club/organization? *
Would your parent(s) and or Guardian be willing to volunteer during the school year? (Chaperone, speaker, etc.) *
If you are you a member of any other organization, club, or sport, please provide the names.
Are you interested in being an Officer this year? *
Parent/Guardian Name, email and phone number *
Home address. Please include city, state, and zip code. *
If have any dietary restrictions, please provide more information.
If you have any allergies, please provide more information.
What would you like to get out of your Club/Student Organization experience this year?
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