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 (F109) and Ms. Sosebee (D101)

· Our first meeting will be held in the Media Center, Friday, Sept. 11^th @ 7:55

NAME(print neatly): __________________________________________________

THIS NAME WILL APPEAR ON YOUR CERTIFICATE

GRADE: 8^th grade 7^th grade

HOMEROOM TEACHER: __________________________________________

ADDRESS: ______________________________________________________

HOME PHONE: ___________________________________________________

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 no later than Friday, Sept. 4th.

A to K Last Names – Ms. Bolling (F109)

L to Z Last Names – Ms. Sosebee (D101)