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Burbank High School Key Club Membership Application 2017-2018
Welcome! To become a BHS Key Club member, please fill out this mandatory application.

Remember to pay your dues ON TIME to Ms. Kutunyan at the finance window during nutrition/lunch BEFORE October 20th!

THANK YOU!

Year(s) served in Key Club
Cell Phone
i.e (818)XXX-XXXX
Your answer
T-Shirt Size
How did you find out about Key Club?
Your answer
I give my consent to allow my picture on any Key Club related website/social media.
Do you know any facts about Key Club?
Your answer
Email Address
Your answer
Date of Birth
MM/DD/YEAR
MM
/
DD
/
YYYY
Name
(First Last) *NO NICKNAMES
Your answer
As a Burbank High School Key Club Member, I pledge to:
You must check all boxes! (Objects of KCI is found on bhskc.com)
Required
Nickname
Your answer
Emergency Contact #
i.e Name, Phone #, Relationship
Your answer
Why do you want to join Key Club and What are you looking forward to in Key Club?
Your answer
Student ID #
(22222)
Your answer
Current Grade
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