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2018-2019 Grand Oaks HOSA Registration Form
Membership dues are $60.

Membership plus competition is $100.

Payment may be made through cash, check, or school cash online. Cash, check, and credit card can also be submitted to the finance office during school hours. See Mrs. Peña

For more information please contact the HOSA Advisor Mr. Gongora- fgongora@conroeisd.net
in room 6005 or visit gohosa.com

Student Last Name *
Your answer
Student First Name *
Your answer
Student ID *
Your answer
Grade Level *
Required
Gender *
Required
Email address *
Your answer
Student Cell Phone Number *
Your answer
T-shirt size *
Required
Parent Full Name *
Your answer
Parent Phone Number *
Your answer
Parent email address *
Your answer
Competition *
**Grand Oaks HOSA has a no refund policy**
No Pass/No Play applies to competition and all community service. By acknowledging below I am stating I understand there are NO refunds for registration or competition fees for any reason.
I acknowledge that I must pay a $60 registration fee to become a member. Additionally, I understand that if I wish to compete I must pay an additional $40. I can pay on school cash online or in the cashiers office. *
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