2016 - 2017 Los Amigos Membership Form 1 · LosAmigos’NamePrinted Mother’sNamePrinted Mail to:...
Transcript of 2016 - 2017 Los Amigos Membership Form 1 · LosAmigos’NamePrinted Mother’sNamePrinted Mail to:...
LOS AMIGOS MEMBERSHIP APPLICATION FORM
Los Amigos Name: Birthdate:
School in Fall 2017:
Grade Entering Fall 2017: High School Graduation Date:
Parent Name(s):
Address:
Home Phone:
Los Amigos Cell Phone: Los Amigos Email:
Mother’s Cell Phone: Mother’s Email:
Polo Shirt (Men’s sizing) S M L XL XXL
Young Ladies Shirt (Women’s sizing) S M L XL
I understand that in order to be a member of Los Amigos in Good Standing, I am required to abide by the Standing Rules of Los Amigos. I further understand that I must complete a minimum of 50 Community Service hours and 50 OIC hours over the applicant(s) four (4) high school years or a prorated 12.5 hours of Community Service hours per year and 12.5 OIC hours per year if membership began after 9th grade. Presidential Award Certificates can be awarded for additional hours as stated in the standing rules.
Signature of Los Amigos Date Signature of Mother Date
Los Amigos’ Name Printed Mother’s Name Printed
Mail to: Membership Chair, PO Box 2515, Palos Verdes Peninsula, CA 90274