Interact Club Membership Application
Dues for joining Interact Club are $20. Please pay Mrs. Garth in room A106 by Sept. 30, 2022. 
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Email *
Name: (First & Last) *
Address: *
Cell phone #: *
Date of birth: *
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Shirt Size *
Areas of interest: (choose all that apply) *
Required
How did you hear about Interact Club? *
Required
I understand & accept the principles of Interact as expressed in its purpose & objectives. I agree to comply with and be bound by the standard Interact constitution, Statement of Policy Relating to Interact, & bylaws of the club. (type your name and date below) *
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