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Club ASU Registration Form
Name
Address
City State Zip Code
Home Phone Number
E-mail
Birthday
Name of School
Grade in School (today)
 
Parent or Guardian’s Name
What is their relationship
to you?
Parent's Phone/Cell ( )
Tell us about yourself!
  Answering the following questions is optional.
Information gathered is used to better match club activities with the interests of members.
Gender
Ethnicity If Other, explain:
 

Interests

Pick all that appy
Sports
Music/Band
Painting/Drawing
Photos/ Video
Gymnastics Wood/Metalwork
Sciences
Education
Biology
Chemistry Student Leadership
 
 
 
Other Interests:
 
Would you like more information about Arizona State University?
Yes, please send me information on the following:

General ASU Info
ASU Admissions
Financial Aid

 

Membership to Club ASU is contingent upon permission of a parent or guardian.
By submitting this form, you are giving us permission to contact your parent/guardian for approval to join Club ASU.

Copyright © Arizona Board of Regents

 
Last Updated 06/19/2008

 

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