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Hialeah Gardens Key Club Summer Member Application 2012-2013 Section I: Contact Information Name________________________________________________________ Student I.D. #____________ Grade: _____ Date of Birth: _________________ Cell Phone #:_________________________ Parent Number:_____________________ Can you receive text messages? ___yes ___no Email: ____________________________________ Section I: Membership Contract As a member of the Key Club of Hialeah Gardens High School, I will attend all meetings and participate in all club activities. I will earn at least 10 community service hours per month, including the summer. I will participate in all required projects, including all fundraising activities, or complete make-up work as approved by the Board of Directors. I will abide by the Key Club pledge and will be a good representative of my club, school, and community. Also, I will complete a 30 hour probation period before October 1, 2012 with Key Club before I’m a member. When school starts I will pay my $20 fee. Failure to abide by these terms will result in a probationary period. X________________________________________ _______________ Prospective Member Signature Date Signed My son/daughter has my permission to join the Key Club of Hialeah Gardens High School. I understand that my son/daughter will participate in many community service projects on the weekends and during the week. I also understand that he/she will be responsible for participating in

Summer Application

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Page 1: Summer Application

Hialeah Gardens Key Club

Summer Member Application2012-2013

Section I: Contact InformationName________________________________________________________

Student I.D. #____________ Grade: _____ Date of Birth: _________________

Cell Phone #:_________________________ Parent Number:_____________________

Can you receive text messages? ___yes ___no

Email: ____________________________________

Section I: Membership ContractAs a member of the Key Club of Hialeah Gardens High School, I will attend all meetings and participate in all club activities. I will earn at least 10 community service hours per month, including the summer. I will participate in all required projects, including all fundraising activities, or complete make-up work as approved by the Board of Directors. I will abide by the Key Club pledge and will be a good representative of my club, school, and community. Also, I will complete a 30 hour probation period before October 1, 2012 with Key Club before I’m a member. When school starts I will pay my $20 fee. Failure to abide by these terms will result in a probationary period.

X________________________________________ _______________ Prospective Member Signature Date Signed

My son/daughter has my permission to join the Key Club of Hialeah Gardens High School. I understand that my son/daughter will participate in many community service projects on the weekends and during the week. I also understand that he/she will be responsible for participating in fundraising activities to raise money for the club. I further understand that I must participate in at least one peanut day or car wash as a supervisor during this Key Club year. I fully understand that transportation is not provided, I must provide transportation. I also understand that these projects/activities are community service opportunities and not field trips.

X___________________________________ ___________________

Legal Guardian Signature Date Signed

For more Information visit our blog at Hgkeyclub.blogspot.com or find us on Facebook by HGHS Key club.