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Junior Optimists Farmington – Farmington Hills, MI 2022-2023 (Membership Fee is $20 per year per student)
*** NOTE *** Gill ES is full for 2022-2023

Please type in student's first name

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/ / Please select the student's birth date

Please select student's age

Please input student phone number (123-456-7890)

Please select Student's T-Shirt Size

Please select the student's grade level

Please select the Student's School Name

Please select the student's club level

Please enter parent/guardian first name

Please agree to the photo and video release for Optimists Public Relations use..

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Send completed form with check payment to:
Farmington/Farmington Hills Optimist Club
P.O. Box 2203
Farmington Hills, MI 48333