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Atascocita FFA Membership Form 21-22
*This form must be filled out and completed no later than 9/30/21!
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Student ID #
*
Your answer
Home Address
*
Your answer
City, State, Zip Code
*
Your answer
Students Phone Number
*
Example: 281-641-7668
Your answer
Students Email Address
*
Your answer
Students Birth Date
*
please enter in mm/dd/yyyy format
Your answer
Gender
*
Male
Female
Required Dues & Official Dress:
*
Please check all that apply - All Members pay dues (Online School Store, Cash or Money Order Only). Due to Mrs. Walker, Ms. Boyd or Mr. Maune before 9/30/2021 - FFA Jackets are optional!
FFA Dues only $35
FFA Jacket & Tie/Scarf $80.00 (FFA Jacket is NOT required for Membership)
Required
Expected Graduation Year:
*
Your answer
T-Shirt Size
*
(Adult Sizes)
Small
Medium
Large
X-Large
2X-Large
3X-Large
Mother/Guardian's Full Name:
*
Your answer
Mother/Guardians Phone Number
*
Your answer
Mother/Guardian's Email Address:
*
Your answer
Father/Guardian's Full Name
Your answer
Father/Guardian's Phone Number
Your answer
Father/Guardian's Email Address
Your answer
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