Letter of Membership Eligibility for Miami-Dade County Public School Students

Please follow these instructions:
  1. A Parent/Guardian must complete the top portion of this form.
  2. Have a school official from your child's school complete the bottom portion of this form.
  3. Print the form by pressing the print button.
  4. Bring the completed form in to one of our branches.
Parent/Guardian Section
is currently enrolled in grade at
(Name of Student)
  (Grade)
, a Miami-Dade County Public School.
(Name of School)
   


School Official
I confirm that the student information is correct as stated above.

__________________________________
Signature of school official

__________________________________
Printed name of school official

__________________________________
Printed title of school official

__________________________________
Date
Place School Stamp here.


rev. 10/26/2006
facebook twitter instagram foursquare youtube