West Point Parents Club Of The Inland Northwest

 

MEMBERSHIP ___ NEW___RENEWAL

Parent Information

Parent Names ____________________ & _______________________ __________________________

Street Address_______________________________________________________________________

City, State, Zip _____________________________________________________________________________

Telephone # (_____) _______________________ E-Mail ______________________________

Cadet Information

P.O. BOX _____________________________________ Nominated By: ____________________________

Cadet Name___________________________________________________ West Point Class of: _________

High School ____________________________________________________ Year Graduated: _____________

Sex ___________ Birth Date _______________

ADDITIONAL INFORMATION/COMMENTS/INTERESTS: ___________________________________________________________________________________

___________________________________________________________________________________

I/We would like to become members of the West Point Parents Club of the Inland Northwest. By the Signature on this application. I/We agree to have our name(s) appear on the group membership roster for distribution to members of the West Point Parents Club.

APPLICANT SIGNATURE(S) _________________________________________DATE: _____________

________________________________________________ DATE: _____________

ANNUAL DUES: $25 FAMILY

Please Contact Dean and Linda Jones (DeneJo@msn.com), Treasurers, WPPC-INW

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