Excel Club Membership – Exchange Club of Fontana

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Student Name(Required)

First Middle Last

High School(Required)

A.B. Miller High School

Summit High School

Jurupa Hills High School

Kaiser High School

Fontana High School

Address(Required)

Street Address Address Line 2 City State ZIP Code

Parent/Guardian Name(Required)

First Last

Parent/Guardian Email(Required)

Phone(Required)

Date of Birth(Required)

MM slash DD slash YYYY

Grade(Required)

Position you are interested in the Club?(Required)

President

Vice President

Treasurer

Secretary

Marketing

PR

Historian

Not Interested in a Officer Position

SET UP YOUR ACCOUNT

Student Email(Required)

Username / Nickname(Required)

Please let us know your desired Username. Only lower case characters(a-z) can be used.

Password(Required)

Enter Password Confirm Password

Strength indicator

NOTE: A GOOD password strength is required. Including ten characters; at least one uppercase letter (A-Z); at least one lowercase letter (a-z); at least one number (0-9); and at least one special character (e.g. ! @ # $ % ^ & *).

Access Code(Required)

NOTE: A Submit Button will appear below after you enter the correct Access Code. Please contact a officer for the code.

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CONTACT US

P.O. Box 90, Fontana, CA 92334
Info@exchangecluboffontana.org