Burley BPA Registration                             2011-2012
Please fill out the following form and watch your e-mail to be notified of meetings and events.  We will also have both text message reminders and a facebook page to keep you all informed.  Remember -- to be a member you also need to submit $30 dues to Mrs. Campbell by October 1.
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Last name
First name
E-mail address
Please give address you check on a regular basis
Cell phone
Home number (if available)
Parent's names
Grade
Clear selection
Emergency Contact
either parent's e-mail or parent's cell phone
What size t-shirt would you like?
(adult sizes)
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Submit
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