West Point Parents
Club Of
MEMBERSHIP: __ _ NEW__ _RENEWAL
Parent Information
Parent Names
______________________& _______________________ _____ _______________
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
APPLICANT SIGNATURE(S)
________________________________________________ DATE: _____________
________________________________________________ DATE:
_____________
ANNUAL DUES: $25 FAMILY OR SINGLE PER YEAR
_________ OR $75 FAMILY OR SINGLE FOR FOUR
YEARS
$20
ALUMNI FAMILIES
SEND COMPLETED APPLICATION
AND A CHECK MADE PAYABLE TO: "WEST POINT PARENTS CLUB OF
Steve Halverson