JCASL Membership Form 2020-2021
Please be sure to fill in your Paypal email name, if you pay online. We can verify your payment and prevent confusion.
School name, unless retired or student
JCPS or Non-JCPS
How many years have you been a JCASL member (counting this year)? Best guess is ok.
First year member
school phone (xxx-xxx-xxxx)
Personal Phone Number (xxx-xxx-xxxx)
Home Street Address
Home Zip Code
Social Media info (Twitter/Instagram/Facebook that you would like to share)
If you would like JCASL to put in a good word for you at your school, please add their Twitter info below.
Membership Due Amounts
Active - $20.00
Do you give JCASL permission to share your basic information on a shareable membership list with other JCASL members? (Name/school/email/social media)
Yes (all of the above)
No (none of the above)
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This form was created inside of Jefferson County Public Schools.