Membership Form

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Membership Form

We're so excited for you to become part of our family! Please fill out the form and return the $ fee to our next meeting.

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* Indicates required question

Name *

Your answer

Major *

Your answer

Phone Number *

Your answer

Birthday *

Your answer

Address *

Your answer

Year *

First

Second

Third

Fourth

Fifth

Other:

Expected Graduation Date *

Your answer

T-shirt Size *

S

M

L

XL

XXL

XXXL

I agree to Pay *

Please check all that apply

$40 for entire year

$15 per quarter

Venmo @CalPolyHBSA

Cash

Check

Required

I understand that in order to become an official HBSA member, I must pay the fee. *

I Accept

Required

Submit

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