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Tar Heel Junior Historian Association
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Forms
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Application for Club Membership
Please complete form and then click on the Send button.
Club name:
*
County:
*
School (or sponsoring agency):
*
Mailing address:
*
City:
*
State:
*
Zip:
*
Telephone:
Fax Number:
Please select one:
*
New membership
Renewal
If you are renewing, do you want a club charter?
*
Yes
No
Would you like to receive membership cards and decals?
*
Yes
No
Grade(s) represented:
*
Fourth
Fifth
Sixth
Seventh
Eighth
Ninth
Tenth
Eleventh
Twelfth
Number of Student Members:
*
Number of Advisers:
*
Club total:
*
Adviser:
*
Home address:
City:
State:
Zip:
E-mail Address:
*
Telephone:
Additional advisers:
Day(s):
Hour(s):
Semester break:
Spring break:
Last day of school:
End of year testing:
*
Required
