Astronomy Club
Membership Information Form
(You may print this page, complete the form, and return it to Mr. Hall.)
(Only TPHS Astronomy Club members are eligible for the annual planetarium field trip.)

 

 

 

 

 

 

 

Name:__________________________________ Today’s Date:_______________

 School Grade_______ Home Room:__________________________________________

Parents’ or Guardians’ Names:_______________________________________________

Your Phone Number:_________________ Parents’ Phone (if different):_____________

Your Mailing Address:____________________________________________________

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Your Email Address:______________________________________________________

Do you own a telescope? YES NO

If "yes" please describe the telescope to the best of your ability. (e.g. reflecting? refracting? Diameter in inches? etc.) _________________________________________

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Please describe any previous study you have done in the subject of astronomy. (Note: NO previous study is required!) ________________________________________________

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