Clubber's Name: Clubber's Grade:______


Clubber's Name: Clubber's Grade:______...

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Clubber’s Name:__________________________________ Clubber’s Grade:____________

Handbook: ($11)

$______________

Uniform: ($16) mark size

$______________

____ YS ____ AS

____ YM ____ AM

____YL ____ AL

Bag: ($5)

$ ___________ _

Dues:

$______________

___ Full Year ($20)

___ 1/2 Year ($10)

_ _ Weekly ($.75)

TOTAL DUE: $_____________ TOTAL PAID: $_____________ Initial: _____________ Date:___________________ Notes: