FCCLA Membership Application
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First Name: *
Last Name: *
Grade: *
Gender: *
Demographic(race): *
School Email: *
Cell Phone # *
Date of Birth (M/D/YR): *
T-Shirt Size *
Check ALL the FCS classes you have taken or signed up to take (you must have taken at least one to be in the club) *
Required
If you selected FCS Advanced Studies or Exploring Family and Consumer Sciences specify your school and teacher while you were enrolled in this class
Did someone recruit you? if so who?? *
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