New Member Application Form New Member Application Membership in the Lexington High School Beta Club requires a 95 cumulative GPA, good character (positive discipline record), and a heart for service. If you feel that you meet these requirements, please complete this application. New members must be a 9th-11th grader in the Fall on 2022. Sponsors will verify your GPA and contact you by June 1st to notify you of your acceptance. If you have any questions regarding membership, application, or requirements please email lexingtonbetaclub@gmail.com. Name*FirstLastMiddle Date of Birth*01020304050607080910111213141516171819202122232425262728293031day / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecembermonth / 20222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901year Graduation Year*202620252024Please list an email that the Beta member will check regularly. We communicate by email and message often. Email* Email confirmation*If possible, this phone number should be the student's personal cell phone. The number is used to be on the remind message system. Phone* Tee Shirt Size*SMLXL2X3X Current School*Lexington High SchoolBargerton ElementaryBeaver ElementaryLexington Middle SchoolPin Oak ElementaryScotts Hill ElementarySouth Haven ElementarySouthside ElementaryWestover Elementary Parent Name 1*FirstLastIt is very important that valid email addresses are used. Please proofread your entry. Parent 1 Email* Parent 1 Phone* Parent Name 2FirstLast Parent 2 Email Parent 2 Phone reCAPTCHASubmitReset
