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Membership Form 2019-20
Membership Information for Dakota HOSA. All information is submitted to HOSA for membership registration.
Membership fee due by: October 01, 2019. Online payment with pay schools or by check: payable to Dakota (NO CASH)
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* Indicates required question
Email
*
Your email
DAKOTA High School
First Name
*
Your answer
Last Name
*
Your answer
Ethnicity
*
Choose
Asian
Black
Hispanic
Native American
Other
White
Cell Phone Number
*
Your answer
Competitive Event (N/A if not competing)
*
Your answer
Partner or Team Member Names (N/A if single event)
*
Your answer
T-Shirt Size
*
Choose
Small
Medium
Large
X-Large
2X-Large
3X-Large
Parent / Guardian Name
*
Your answer
Parent/ Guardian Telephone Number
*
Your answer
Parent / Guardian Email Address
*
Your answer
Sign up for Remind (81010 @jzemnicka)
*
Choose
Yes
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