Astronomy Club
Membership Information Form
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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