CANSBE Jr. Membership Form

🌟 Central Alabama NSBE Jr Membership Form 🌟

Welcome to NSBE Jr! 🚀We’re excited to have your student become a member of our family of future engineers, scientists, and leaders. Please complete this form to begin their membership.
👩🏾👨🏾 Parent/Guardian Information
Parent/Guardian Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
👧🏾👦🏾 Student Information
Student's Name*

First NameLast Name
Age*
Grade Level*
School *
Allergies, Medical Concerns, or Dietary Restrictions *
🔎 Student Interests
🔬 Science (Chemistry, Biology, Physics)🖥️ Technology (Computers, Coding, Robotics)⚙️ Engineering (Civil, Mechanical, Electrical, Aerospace)➗ Math (Algebra, Geometry, Problem-Solving)
💵 Membership Dues

Central Alabama NSBE Jr annual dues are $10.

💡 This amount covers the NSBE Jr year (September – May) and helps support STEM project supplies and chapter events for our students.

👉 Please complete payment here: [Payment Link] 🔗

(Be sure to select NSBE Jr Membership ($10) when submitting your payment.)
I have completed the $10 membership dues payment. 💳
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🌟 Central Alabama NSBE Jr Membership Form 🌟