2019-20 Member Registration Formoperationunite.org/wp-content/uploads/2019/09/2019-20...2019-20...

2019-20 UNITE Club Member Registration

Please fully complete student information for each UNITE Club member and submit to the UNITE office with

your Club Registration Form. You may add new members at anytime during the school year.

NOTE: The deadline to register a UNITE Club is Friday, January 24, 2020. No clubs will be funded following this date.

Club Name: _________________________________________________ Date: _________________

Name of School: _______________________________________________________________________

County: ______________________________________________________________________________

Club Sponsor: _______________________________________________ T-shirt size: ____________

Club Sponsor: _______________________________________________ T-shirt size: ____________

Student’s Name: ______________________________________ Grade: _______ T-shirt size: ______

Student’s Name: ______________________________________ Grade: _______ T-shirt size: ______

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Student’s Name: ______________________________________ Grade: _______ T-shirt size: ______

Student’s Name: ______________________________________ Grade: _______ T-shirt size: ______

Duplicate this page as needed

Download this form at www.operationunite.org. Scan and email to asalyer@centertech.com, Fax to UNITE at 606-889-0874, or mail to: UNITE, 100 Resource Drive, Prestonsburg, KY 41653