2021-22 MPHS FFA Membership Form
To join the MPHS FFA Chapter, please complete this form.
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Please list your first and last name. *
If you go by a different first name or nickname, please list that here.
Current Grade Level: *
Current Address (Be sure to include city and zip code.) *
Student Cell Phone Number
Please tell us if you are taking any agriculture classes during the 2021-22 school year. (This is not required to be an FFA member.)
T-Shirt Size (T-shirts are unisex, unfitted cotton short sleeve tees.) *
If you are currently in 9th grade, please tell us if you were in FFA in middle school.
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Emergency Contact Name (Please list an adult in your life who could be called in the event of an emergency.) *
Emergency Contact Phone Number *
I understand that I am only a registered FFA member if I have completed this form AND paid my $15 dues. (Checks or the exact amount in cash can be paid to Ms. Cauthen or Mr. Tolson. If you have hardships that make payment difficult for you, please meet with your agriculture teachers privately.) *
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