2009-2010 Membership Form

Name ______________________________________ Year of Graduation

________

Address _________________________________________________

________________________________________________________

Home Phone ______________________ Cell Phone

________________________

Email _____________________________

Facebook? Yes/No Facebook name __________________________

Homeroom Teacher _______________ Room # _________ T-Shirt Size

_________________

Registration and Club Dues:

• $15.00 cash or check to Central Bucks East Activities Fund (covers cost
of T-shirt)
• Hand in this registration form and check/cash to Ms. Conn in room 229
by 10/15

Membership Guidelines:

• Members should have a genuine interest in supporting local farms and

community
• Members are expected to participate in activities/volunteer
opportunities sponsored by Eat Your View during the school year.
• Participation may include coming up with ideas, planning, promoting
and/or attending
• Members are expected to attend most of the meetings. Contact Ms.
Conn beforehand if you are unable to attend.
• Eat Your View will meet once a month.
• You will be notified by email/Facebook regarding important
information. Please check whichever you use regularly.
________________ __________________________
Date
Student Signature

Please have your parental guardian(s) read the back and sign approval.

I give my son/daughter permission to participate in activities*

through CB East Eat Your View Club for the 2009-2010 school year.

*-During school hours (such as bake sales)

-After school hours at school (such as helping out in the Green House,
attending meetings)
-Outside of school (Volunteering at farms, pumpkin picking)

Please keep in mind these are just a few examples. The club does
not have everything planned out just yet, but if you would like
additional information or have questions please feel free to contact
Tricia Conn, the club’s teacher advisor, at tconn@cbsd.org. Thanks
for your support!

________________ __________________________
Date
Parent Signature