Application for Admission into the Loser Club

Print this form then submit it to one of the members, from the members page.(To print this you must copy & change font color)

If you do not attend North Penn High School 1. You should start a subsidiary loser club.

2. You will have to include your friends screen names and such, then copy and email this or

Post mail this to: Loser Club 209 East Fifth Street Lansdale, PA 19446.

Name___________________________ Grade_____ School ______________

Homeroom______________ Address (if not at North Penn)__________________

__________________________

AOL screen name___________________ __________________________

Family Members _________________ Friends_____________________________

& _______________________________ ___________________________________

&_______________________________ ___________________________________

&________________________________ (will be asked about your loser ness)

Email Address __________________________________________________________

Reasons you are a loser __________________________________________________

.________________________________________________________________________

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Write a 10-20 word essay on why you think you should be in the loser club:

-_________________________________________________________________________

-_________________________________________________________________________

-_________________________________________________________________________

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Write something about your style: ___________________________________________

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Are you friends, in your opinion, Losers? (Y/N) _____________

What kind of music do you listen. Be specific with band names and such. All types of music is not a sufficient answer to this question. Mention your favorite band, and genre of music. __________________________________________________________________________

-__________________________________________________________________________

-__________________________________________________________________________

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Explain any qualifications that you do not meet, and also give the reason(s) that you do not meet these qualifications.

-__________________________________________________________________________

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*Qloser club *Application