Club Sign-up Form

You must submit on application per student.

Header

Club you wish to join?*

Student Information

Student First / Last Name *

Teacher*

Grade Level*

Parent Information

Parent First / Last Name*

Parent Phone*

Parent Email*

Emergency Contact Information

Emergency Contact First / Last Name*

Emergency Contact Phone*

Emergency Contact Email*

Student Agreement*?

Yes

Parent Agreement*?

Yes

By submitting this Permission Slip form, this Parent agrees to the rules and expectations set above for this club, and gives permission for their student to attend.

7789 North Tawny Owl Circle

Eagle Mountain, Utah 84005

PHONE - (801) 789-4000

FAX - (801) 789-4001

We make schools look good.

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