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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: ______
Student’s Name: ______________________________________ Grade: _______ T-shirt size: ______
Student’s Name: ______________________________________ Grade: _______ T-shirt size: ______
Student’s Name: ______________________________________ Grade: _______ T-shirt size: ______
Student’s Name: ______________________________________ Grade: _______ T-shirt size: ______
Student’s Name: ______________________________________ Grade: _______ T-shirt size: ______
Student’s Name: ______________________________________ Grade: _______ T-shirt size: ______
Student’s Name: ______________________________________ Grade: _______ T-shirt size: ______
Student’s Name: ______________________________________ Grade: _______ T-shirt size: ______
Student’s Name: ______________________________________ Grade: _______ T-shirt size: ______
Student’s Name: ______________________________________ Grade: _______ T-shirt size: ______
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Page _____ of _____ Student’s Name: ______________________________________ Grade: _______ T-shirt size: ______
Student’s Name: ______________________________________ Grade: _______ T-shirt size: ______
Student’s Name: ______________________________________ Grade: _______ T-shirt size: ______
Student’s Name: ______________________________________ Grade: _______ T-shirt size: ______
Student’s Name: ______________________________________ Grade: _______ T-shirt size: ______
Student’s Name: ______________________________________ Grade: _______ T-shirt size: ______
Student’s Name: ______________________________________ Grade: _______ T-shirt size: ______
Student’s Name: ______________________________________ Grade: _______ T-shirt size: ______
Student’s Name: ______________________________________ Grade: _______ T-shirt size: ______
Student’s Name: ______________________________________ Grade: _______ T-shirt size: ______
Student’s Name: ______________________________________ Grade: _______ T-shirt size: ______
Student’s Name: ______________________________________ Grade: _______ T-shirt size: ______
Student’s Name: ______________________________________ Grade: _______ T-shirt size: ______
Student’s Name: ______________________________________ Grade: _______ T-shirt size: ______
Student’s Name: ______________________________________ Grade: _______ T-shirt size: ______
Student’s Name: ______________________________________ Grade: _______ T-shirt size: ______
Student’s Name: ______________________________________ Grade: _______ T-shirt size: ______
Student’s Name: ______________________________________ Grade: _______ T-shirt size: ______
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 [email protected], Fax to UNITE at 606-889-0874, or mail to: UNITE, 100 Resource Drive, Prestonsburg, KY 41653
