2017-18 Renaissance Membership Form - (copy)

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 2017 Renaissance tee-shirt. Members wear their Renaissance shirt while participating in our many recognition and community service programs. Listen to the morning announcements for the time, place, and day to purchase your shirt.

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. Are you in North (11th and 12th grade) or South (9th and 10th grade)?*
    North
    South


  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)





Leah McGovern