AK DECA Membership 2022-2023
Please complete the following information in addition to the membership form, medical history, and comprehensive consent forms. 
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Paypal membership payment confirmation # *
Name on Card used on Paypal *
Student ID Number *
Prefix *
First Name *
Last Name *
Grade for 2022-2023 school year *
Gender *
Demographic *
Student Email (NO Student CMS emails) *
Member Title *
Cell Phone Number *
Home Phone Number
Date of Birth *
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/
DD
/
YYYY
Field of Employment (of student if you have a job)
T-Shirt Size (this is for club shirts and state shirts) *
Sweatshirt Size (for Gold Membership only) *
Years as Member (1 if this is your first year) *
Parent/Guardian Name (first and last) *
Parent/ Guardian Phone Number *
Parent/ Guardian Email *
Parent/Guardian Name (first and last)
Parent/ Guardian Phone Number
Parent/ Guardian Email
Emergency Contact Name (other than parent/guardian)
Emergency Contact Number
Marketing Courses Taken or Currently Enrolled in. You must have previously taken or be enrolled (Semester 1 or Semester 2) in the following to join DECA. *
Required
Marketing teacher you had in 2021-2022 *
What type of event are you interested in competing in for 2022-2023 DECA Season? *
Required
Membership Level *
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