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2023-2024 NHS Junior Civitans Membership Form
* Indicates required question
Email
*
Record my email address with my response
Name (First and Last)
*
Your answer
Grade
*
Freshman
Sophomore
Junior
Senior
Years in the club (include this year)
*
4 years
3 years
2 years
This is my first year joining
Email
*
Your answer
Cell Phone number
*
Your answer
Shirt Size (Adult sizing only!)
*
Your answer
Favorite Junior Civitan Project
*
Your answer
Which of the following NHS JC club sites do you follow?
*
Canvas Page
Instagram
Facebook
Twitter
None of the above
Required
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