Hopewell Middle School

Junior Beta Club

Application and Information

Dues:

· New members -$28

· Returning members - $15

· T-shirts - $10 in addition to dues

Club Basics:

· Sponsors: Ms. Bolling (D103) and Ms. Sosebee (G101)

· Meetings held the first Friday of every month before school

· Our first meeting will be held in A 160 at 7:55 a.m. on Friday, September 5th

NAME: __________________________________________________

GRADE: 8^th grade 7^th grade

HOMEROOM TEACHER: __________________________________________

ADDRESS: ______________________________________________________

HOME PHONE: ___________________________________________________

STUDENT EMAIL: __________________________________________________

PARENT EMAIL: ___________________________________________________

PARENT SIGNATURE: _______________________________________________

T-SHIRT SIZE (If you are paying for a t-shirt, circle your ADULT size)

Small Medium Large Extra-Large

Please initial below indicating that you have reviewed the “REQUIREMENTS AND PROBATION” page of Ms. Bolling’s Jr. Beta website.

Initials _____________

All applications are to be returned to Mrs. Sosebee in G101 no later than Friday, August 29th.