Club Participation Form Spring 2021 Club Participation Form Spring 2021 Contact InformationName* First Last Rio Hondo Student ID#*Email* Phone*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Club InformationI am requesting participation for the following student groups/clubs/organizations*Please only request participation for groups in which you plan to have active particiapation with.Art GuildBlack Student AssociationAlpha Gamma SigmaChoir ClubFrench ClubGraphic Design ClubMultiverse of Film Club1st Year Nursing2nd Year Nursing ClubPre-Law Society ClubPuente ClubSociety of the SciencesTake A Hike ClubVeterans Network ClubOther - New ClubEnter club name if you selected "Other"*BP5430 - Club Regulations*I affirm that I have read, understand, and agree to abide by the terms outlined in the Club Regulations BP5430 and AP5430. I agree BP & AP 4250 - Probation, Dismissal, Readmission*I affirm that I have read, understand, and agree to abide by the terms outlined in the Probation, Dismissal, Readmission BP4250 and AP4250 I agree Emergency ContactThe person to contact in case of an emergency:Name* First Last Relationship*Phone* Club Participation Form Spring 2021 Contact InformationName* First Last Rio Hondo Student ID#*Email* Phone*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Club InformationI am requesting participation for the following student groups/clubs/organizations*Please only request participation for groups in which you plan to have active particiapation with.Art GuildBlack Student AssociationAlpha Gamma SigmaChoir ClubFrench ClubGraphic Design ClubMultiverse of Film Club1st Year Nursing2nd Year Nursing ClubPre-Law Society ClubPuente ClubSociety of the SciencesTake A Hike ClubVeterans Network ClubOther - New ClubEnter club name if you selected "Other"*BP5430 - Club Regulations*I affirm that I have read, understand, and agree to abide by the terms outlined in the Club Regulations BP5430 and AP5430. I agree BP & AP 4250 - Probation, Dismissal, Readmission*I affirm that I have read, understand, and agree to abide by the terms outlined in the Probation, Dismissal, Readmission BP4250 and AP4250 I agree Emergency ContactThe person to contact in case of an emergency:Name* First Last Relationship*Phone*
