Club Athena Application

RACING FOR POINTS!

Please complete all questions. Have your membership information ready. Ms. Loxley will connect with you to set up your spreadsheet and folder.
Student Name *

First Name Last Name
Student E-mail *
What is your Club Athena Membership number? *
While the questions we are asking you to answer on this application do not neccessitate school records (FERPA) or health records (HIPPA), we do want you to know that the information you submit is protected and stored on a secure server that is HIPPA compliant.

Your information is only used as is reasonably necessary to process your application. We do not give out, exchange, barter, rent, sell, lend, or disseminate any information about our members.

Our STEM Education extracurricular program, Athena Racing, is a 501(c)3 nonprofit #84-2096687. Any donations made are tax-deductible to the full amount that is legally allowed.
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RACING FOR POINTS!