Leo Club Application

Advisors: Miss Kreitzer - Room: 127

NAME / GRADE / 6 / 7 / 8
HOMEROOM # / HOMEROOM TEACHER
DO YOU HAVE AN E-MAIL ADDRESS WHERE YOU CAN BE CONTACTED? / YES / NO / IF “YES” / E-MAIL ADDRESS:

Tell Me What You Like?

What are you interested in doing for the Leo Club? (check as many as you wish)

It’s All About You…

Sure / Maybe / No / Are you willing to make the Leo Club one of your priorities?
Sure / Maybe / No / Are you willing to work as needed after school to fulfill your responsibilities?
Sure / Maybe / No / Will you be able to attend bi-weekly Leo Club meetings on Tuesdays from
2:40 to 4:15?

Have You Got The Time?

Circle all the other extracurricular activities (if offered) that you plan to be involved in this year.

band / cheerleading / friends club / yearbook / basketball
chorus / track field / chess club / newspaper / field hockey
orchestra / wrestling / environmental Club / drama club / soccer

List any activities that you are involved in outside of school that would limit your involvement in Leo Club:

What are some ideas that you have for the Leo Club?

I understand that if I apply and am chosen for Leo Club, I will be required to attend Leo Club meetings and participate in Leo Club activities. I understand that if I do not actively participate, I will be removed from the Leo Club. I realize that I will be in a position of responsibility, and I will act accordingly at all times. I also understand that I must have parental permission

to apply for Leo Club. I also understand that there is a due of $2.00 required as part of this club.

Student Signature Parent Signature Date

Please return completed application form to Miss Kreitzer in room 127 no later than Friday, October 29th.

□ Paid Dues