Join a group of people supporting each other and focused on helping our students.

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Please provide the following information for your application.

Date

Name

First

Last

Spouse / Partner

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Cell Phone

Home Phone

Work Phone

Email

Special Skills or Talents

Special Skills or Talents

Please list your children and their school / grade.

Layout

Child's Name

School

Grade

Child's Name

School

Grade

Child's Name

School

Grade

Child's Name

School

Grade

Child's Name

School

Grade

Lifetime Membership Fee - $20.00

Please bring $20.00 membership fee to our next monthly meeting (see schedule of events). Fee includes a Dads Club cap which you will receive at the meeting.

Membership Fee Paid - Date (Office Use Only)

Cap Given - Date (Office Use Only)