KEY CLUB
APPLICATION
Your name is as sweet as honey. __________
________________
Last
First
Are you a guy or a girl? You never know what surprises I have in store for you: GUY GIRL I lost my number, can I have yours? ______________
_________
Home
Cell
Can I have the directions to your house? Never know when I decide to drop by!
Street Address
City
Zip
Do you have an e-mail? ‘Cause I'd sure like to be your e-male/fe-male… @ Email (PLEASE PRINT NEATLY)
AIM Screen Name
When’s your special day? Presents abound! Birth Date (mm/dd/yy)
I’ll grade you real good! (Circle One)
[9]
[10]
[11]
Age
[12]
I'm a beginner at identity theft, so instead of your social security #, I'd like your student ID#...
Student Number
Your shirt tag says “100% Hotness” (Circle One SHIRT SIZE) I’m a magnet for attraction! (Circle one) [AMSAT]
Class 00a 1 3 5 7 00b 2 4 6 8
[AOF]
Teacher
[S]
[M]
[TEACH]
RM#
[L]
[Challenge]
[XL] [None]
Got any special interests? Hobbies? Secrets? ;) Let us get to know you better by unleashing the inner you by decorating the application with your favorite things/words!