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Dickinson Jr. FFA Membership Form
Please fill out students information below. One form per member. Membership Fees will be paid through RevTrak.
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Home Address (or mailing)
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Graduation Year
*
Choose
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
DISD school in which student is enrolled:
*
Choose
Kranz Jr High
McAdams Jr High
Barber Middle School
Dunbar Middle School
Lobit Middle School
Bay Colony Elem
Calder Road Elem
Hughes Road Elem
KE Little Elem
Lobit Elem
San Leon Elem
Silbernagel Elem
Gender
*
Male
Female
Other:
Students Phone Number (if applicable)
Your answer
Parent Name 1
*
Your answer
Parent Phone Number 1
*
Your answer
Parent Email 1
*
Your answer
Parent Name 2
Your answer
Parent Phone Number 2
Your answer
Parent Email 2
Your answer
Will this student be raising animals under Dickinson Jr FFA?
*
Yes
No
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