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Family member Add-on
Family member Add-on

Alternative Views:

Price $50.00
All included!

We encourage all students to become DANK members

I am currently not a member and would be very interested in becoming a member.
.    Please complete the registration process at http://www.dank.org/join/,
      select Chapter Preference "Illinois - Northern Suburbs" - or -
      bring the completed DANK Membership Registration form, and a check during the first day of school.

I pay my annual dues.
     New: Online membership payment at http://www.dank.org/membership/payment/,
      select Chapter Preference "Illinois - Northern Suburbs"
      Basic Membership Dues: $40, Spouse / Partner: $10, Children ages 0-17: Free.

I have a Life-Membership.

How did you hear about DANK?:

Student Information

First Name*:

Middle Name:

Last Name*:

Family Phone*:

Family Email*:
Minor Students Only

Birth Date*:

Birth Place*:
   (Town and State required)

Grade in Public School*:

   (Grade in the upcoming school year, cut off date is 9/1)

Parent 1*:

Parent 2*:
   (enter 'N/A' if not applicable)
Does your child have any medical issues/allergies

of which we need to be aware of?:

Any other information that your child’s teacher

should know?:

Emergency Contact

Contact Name*:

Phone number*:
Campus Information

Palatine,   Mondays, 5:45 pm -  8:15 pm.
Arlington Heights,   Saturdays, 9:30 am - 12 noon.

Check to continue*:
Yes, I acknowledge that I have read and agree to the Terms and Conditions.
Consent to School Code of Conduct

Check to continue*:
Yes, I acknowledge that I have read and agree to the School Code of Conduct.

Please only use this selection to register additional family members if you have already one paying adult and three paying children from the same family in your shopping cart.

Each student requires an individual registration.

4th and more child: Only annual book, - material and any AATG testing fee with registration of 3 paying children!