West Point Parents Club of Greater Houston

Membership Application Form

Please type your information directly to this screen and

 then print your membership application form

and mail it along with your payment to:

WPPCGH

c/o Anne Kieschnik

5502 Fairview Forest

Houston, Texas 77088

 

Parents'  Last Name:   

 
 

Parents' First Name(s):   

 
  Cadet's  Last Name:     
  Cadet's First Name:     
  Cadet's Class Year:     
  Cadet's Birthday:     
  Cadet's E-Mail:     
  Parent's E-Mail 1:     
  Parent's E-Mail 2:     
  Home Address:     
  City:     
  State:     
  Zip Code:     
  Home Telephone #:     
  Dad's Work #:     
  Mom's Work #:     
  Dad's Cell #:     
  Mom's Cell #:     
 

All Other:   

 
   

Annual Dues are for the period of July 1 through June 30

Dues are $35 for one year; $60 for two years; $90 for three years

and $120 for four years

Alumni and Associates Dues are $20 per year

  
 

$ Amt Paid for Dues:   

 
    Parents' WPPCGH Name Tags are $10 Each  
 

Name for Name Tag 1:   

 
 

Name for Name Tag 2:   

 
 

$ Amt Paid for N/Tags:   

 
 

Date:   

 

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