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* 1. My name is:

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* 2. Grade level:

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* 3. Please indicate which school you attend or if homeschooled in the box below.

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* 4. I have talked to my parents and school administrator about joining the chapter and they gave me approval. (Select all that apply)

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* 5. I would like to become involved in these activities. (Select all that apply)

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* 6. I would like to order an FFA Jacket and Tie or Scarf (around $65)

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* 7. I do understand I will be responsible for costs associated with travel, registrations, meals, etc. for FFA events. Your school may help or you may be able to do some fundraising. (Most FFA members fundraise to attend events).

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* 8. I understand I will need to pay annual dues of approximately $20.

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* 9. I understand I will need to arrange travel to and from FFA events. (Talk to parents and administrator)

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