FCCLA 2021-2022 - Membership
PFHS FCCLA Membership Application


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Please fill out the entire application.  Your application is not complete until you have paid your dues.  If you need assistance with dues please contact Ms. Wallsl or your counselor
Dues is $25 and can be paid online. *BEST OPTION*  or by check or cash.

First Name (no nick names) *
Full Last Name *
Name you like to be called
Grade *
Demographic *
Your Cell Phone Number *
Your email address (one you check often) *
Home Phone number
Your Birthday *
DD
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MM
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AAAA
Parent/Guardian Full Name
Parent/Guardian Cell phone #
Home address - include city, state and zip code *
T-Shirt Size - unisex cut *
FACS Classes you have taken or are in currently (7th-12th) - select all that apply *
Obligatorio
What block do you have CORE? *
Are you interested in being an officer.  We need 2-3 more officers to help with club.  Commitment is 2 meetings a month. Must have been an FCCLA Member in the past and in good standing academically. *
I understand that participating in FCCLA is a privilege.  Club will be held a minimum of once a month before school. I will be required to volunteer and participate in fundraising events. I further understand that as a member of FCCLA I will be expected to model excellent character, leadership, and critical thinking skills at school, in my community, and with my family. *
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