Name: ____________________________________________
Address:
___________________________________________
Email Address: ______________________________________
Telephone
numbers: __________________________________
Children's
names:
Age:
Current Grade:
_________________________ ______
________
_________________________
______
________
_________________________
______
________
_________________________
______
________
_________________________
______
________
_________________________
______
________
I have read and agree to the requirements
of membership. My commitment level
is high in the following areas: (Put
a check by the ones that best fit your skills,
talents
and interests)
_____ I can organize a field trip.
_____ I
can organize a service project.
_____ I can organize a
social activity.
_____ I can organize or help with a club.
_____ I
can organize or help with a graduation ceremony.
_____ I can organize
a project or idea. (newsletter, yearbook, field day, etc.)
_____ I
can help teach, assist the teacher, substitute for the teacher.
_____ I
can help assist by preparing class or club materials.
_____ I
can help financially if the need arises or donate supplies.
_____ I
can volunteer for child care.
_____ I am good at ________________________________________.
_____ Other _____________________________________________.
Print
out and mail to Angie Lippard, 4319B Katy Kim Lane,
Ooltewah, TN 37363.We will call to schedule your interview.
