2018-19 Renaissance Membership Form -

EVERY MEMBER MUST COMPLETE THE FORM (Even Past Members)
Congratulations! This is the FIRST STEP to Renaissance Membership. Please fill out the form below; additionally members are encouraged to purchase a 2018 Renaissance tee-shirt. Members wear their Renaissance shirt while participating in our many recognition and community service programs. T-shirt order link is on the Renaissance eBoard under the membership tab!


THANK YOU and
WELCOME TO CHEROKEE’S
RENAISSANCE PROGRAM!



A red asterisk (*) indicates required questions.


  1. Please enter your FIRST NAME below:*


  1. Please enter your LAST NAME below:*


  1. Please enter your Cherokee EMAIL ADDRESS below: (ID number@lrstudents.org)*


  1. Please enter your personal email address:


  1. What is your CELL PHONE NUMBER (including area code, no spaces, eg 6095551212) If you do not have a cell phone please skip this question.


  1. Please enter your GRADE:*
    9
    10
    11
    12


  1. Please enter your Class One Room Number below (example DD205):


  1. Please enter your Class One Teacher's LAST NAME--please only enter their last name WITHOUT a title ...do not enter Mr. or Mrs. (example, Gallombardo)