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Member Info
This form is to collect info from our members so we can add their name to the service hours spreadsheet and use this information later to enter into the Dues-Paid member system if you choose to become a dues-paid member (which is highly recommended to do). This info is used for Key Club data only and would not be used in any other way.
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First Name?:
*
Your answer
Last Name?:
*
Your answer
Preferred to Be Called By?:
Your answer
Gender?
*
Your answer
Birthday?:
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MM
/
DD
/
YYYY
Grad Year?:
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2025
2024
2023
2022
Email?: (If you're an officer make sure to put your lausd/personal account)
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Your answer
Preferred Phone Number?:
Your answer
Address?:
Your answer
#1 Parent/Guardian Contact Info (full name, phone number [daytime and nighttime], email, address [if it differs from yours].
Your answer
#2 Parent/Guardian Contact Info (full name, phone number [daytime and nighttime], email, address [if it differs from yours].
Your answer
If you had 3 pet goblins, what would you name them? Explain if you want to :)
*
Your answer
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