2019-2020 Middle School FFA Member Information

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First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Grade *

Student Email *

Student Cell Phone Number (If none, enter "x" in the box) *

Parent/Guardian Email *

Additional Parent/Guardian Email

Parent/Guardian Cell Phone Number (If none, enter "x" in the box) *

Home Phone Number *

Locker Number *

T-shirt Size (Adult sizes) *

XXL

XXXL

In order to get free membership, you must have worked 8 hours at the Brown County Fair Food Stand OR worked 4 Hours at Brown County Food Stand and worked at Brown County Breakfast on the Farm, or participated in either Maribel or Denmark Parade. Did you do this this summer (we will double check)? *

Yes

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