Beta Club Student Application

Beta Club Student Application
Your Name*

First NameLast Name
Parent/Guardian Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
What Grade will you be in during the Fall of 2025?*
Why do you want to join Beta Club?*
Emergency Contacts*
Birthdate*

MonthDayYear
Date
What skills and talents do you currently have?*
What skills and talents do you hope to gain through Beta Club?*
Please include your reference letter/paragraph here regarding your character and morals: *
Do you fulfill all of the grade and attendance requirements? If so, please type, "yes." *
May we use your photo and/or videos for marketing on social media pages, website, etc.

YesNo
I am acknowledging that all of the above information is accurate and true, and will do my best to serve my community and my chapter well, if given the opportunity. I also acknowledge that this is an application, and not an invitation to join the Tennessee Homeschoolers' Beta Club Chapter.

I am also using this to either give my consent, or to not give my consent for photographic and video release of my picture on social media pages and/or websites - based on the answer to the question above.
Beta Club Applicant Signature*

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Parent of Applicant Signature*

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