2015-2016 FCCLA Membership Form

Annual Dues: $18.00 without a shirt or $30.00 with a shirt paid by Friday, September 18
$25.00 without a shirt or $37.00 with a shirt paid after Friday, September 18

Please complete the following and turn in to Mrs. Ries:

Name______________________________________ Email you check most often______________________________

Current Grade________________ Locker Number ________________________

Birthday_____________________ What is your favorite candy or treat?_________________________

Cell Phone_______________________________ Can we text you? Yes No

Home Phone_____________________________

Parents Names____________________________________________________________________________________

Their email addresses_______________________________________________________________________________

________________________________________________________________________________________________

Address to send information home: ___________________________________________________________________

________________________________________________________________________________________________

How many years have you been in FCCLA? (counting this year) _________________

Team or officer preference (not guaranteed): ___________________________________________

T-shirt size: (adult sizes) S M L XL XXL

Shirt color Black Royal Blue Charcoal Gray

For chapter records (Mrs. Ries will fill this part out):

Date paid_______________ Amount: $18.00 $30.00 $25.00 $37.00 ____student email added
Cash or Check Number ____________ ____parent email added
Team Assigned______________________________ ____locker sign made and hung
Captain____________________________________ ____birthday on calendar

See back side for activities, committees and leadership opportunities

Name______________________

1. Check activities that interest you:
____ Participate in competitive STAR events
____ Hang locker signs during SRB
____ Take photos of activities
____ Run for chapter or district officer
____ Help type the Sampling Supper Cookbook
____ Help update membership point system
____ Contact chapter parents to help with activities
____ Attend Leadership Camp or Rookie Camp in Huron in October
____ Attend November Cluster Meeting in Dallas Texas
____ Help keep track of fundraising sales

Chair (be in charge) any the following chapter activities
____ Ronald McDonald pop tab Collection Contest (ends May 10)
____ Be in charge of parent recognition at our awards banquet
____ February FCCLA Week Activities
____ Plan and purchase foods for Lunch is Served (lunches for the working poor)
____ Plan and carry out a food bank food drive
____ My own project idea:______________________________________________

2. Please check 5-10 of the following committees you would like to join and help plan activities: (see chapter calendar for dates)

____ Homecoming parade entry
____ Meal fundraiser
____ Corn Maze and bowling night
____ New member mini retreat
____ Parent Teacher Conference Babysitting
____ Ronald McDonald House Pop Tab collection
____ Indoor race track activity
____ Food bank food drive
____ Overnight Lock In
____ Semester Test Survival Kits
____ Special week celebrations
(like national chocolate week)
____ Winter ice skating (sledding/skating)
____ Halloween carnival
____ FCCLA week activities
____ Valentines treats to staff and students
____ Movie night in Dells or the Cinedome
____ Random treats
____ Lunch is served (making lunches for needy)
____ Sampling supper
____ Sampling supper cookbook
____ Senior May Baskets
____ Awards banquet
____ National Super Hero Week
____ Teacher appreciation week