Sports Block Crew List 18-19
Complete the items below. Type NA if a category does not apply.
Grade Level *
First Name (Type Upper/Lower [Ex. Tom]) *
Your answer
Last Name (Type Upper/Lower [Ex. Smith]) *
Your answer
Student Cell Number (Type with hyphens 919-555-5555) *
Your answer
Mother's First Name (Type NA if don't live with mother) *
Your answer
Mother's Last Name (Type NA if don't live with mother) *
Your answer
Father's First Name (Type NA if don't live with father) *
Your answer
Father's Last Name (Type NA if don't live with father) *
Your answer
Guardian's First Name (if live with other than mother/father)(NA if live with parent) *
Your answer
Guardian's Last Name (if live with other than mother/father)(NA if live with parent) *
Your answer
Who is your Emergency Family Contact Member? *
Mom-Suzzie, Dad-Joe, Grandmother-Susan, etc. (Type proper grammar Upper/Lower)
Your answer
Family Member Emergency Contact Cell Number *
Your answer
Do you drive to/from school? *
What size adult t-shirt do you wear? *
Have you signed up to be on the Sports Block Remind by texting SBMCHS to the number 81010? *
Have you filled out the MCHS Club Member Form and turned in a signed copy to Mrs. Councill in room 3212? Form located here: http://www.sportsblock.net/uploads/1/1/0/3/11035594/mchs_student_club_member_authorization_form.pdf *
Do you have a class this year with Mr. Maldonado, Mr. Petty or Mrs. Councill? (Check all that apply) *
Required
Have you had a class in the past with Mr. Maldonado, Mr. Petty or Mrs. Councill? (Check all that apply) *
Required
What positions are you interested in working? *
Required
Would you be interested in running for a leadership position within The Sports Block? Equipment Managers would train with the advisors and be responsible for set-up, break-down, and preparing for events. *
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