Liberty-Perry (aka Wapahani) Alumni Association

Wapahani - Center - Selma

LPAlumAssocMemberApp.

Liberty-Perry Alumni Association
Wapahani - Center - Selma
This is the official Application to become a supportive member of Liberty-Perry (formerly Wapahani) Alumni Association, of Selma, Indiana. Please complete all required sections and submit as directed.
*Last Name *First Name Maiden Name (if applicable) *Address 1 Address 2 *City, State, Zip Code *Phone Number 1 (with Area Code) Phone Number 2 (with Area Code) *Valid E-Mail Address (Make sure you can receive email from us by adding us to your Contacts) *May we share your email address with Alumni Association Members or post to the Association Members-Only pages?
Yes. You may share my email address with Alumni Association Members.
No. Please keep my email private, for official use only.
Your personal information, with the exception of your email address and name, will only be available to Alumni Association Officers, your own Class Officers, or Association/Class Reunion Organizers. Your personal contact information will be added to a master database of all Liberty-Perry alumni to assist with future reunions and Association business.
You may be receiving email from the following address(es): history@wapahanialumni.com, SelmaBluebirds@wapahanialumni.com, or CenterSpartans@wapahanialumni.com. Please add us to your email provider Contacts List in order to continue receiving correspondence from us.
*Year Graduated from a Liberty-Perry school, or years you attended or worked for a L-P school. *Check all schools you graduated from, attended, or worked for:
Wapahani H.S.
Center H. S.
Selma H.S.
Selma M. S.
Selma E. S.
Perry E. S.
None of the above
*What was your status when at the above school(s)?
Student
Staff
Faculty
Principal
Superintendent
Board Member
None of the above
*Were you a Class Officer and/or are you a Reunion Organizer? Check any that apply.
I was a Class Officer in High School.
I am currently a Reunion Organizer for my Class.
Neither choice applies to me.
If none of the above schools or categories apply, how would you describe yourself?
Parent
Friend
Supportive Community Member
*I am interested in participating in the Alumni Association as:
Elected Officer
Committee Chairperson
Committee Member
Helping Any Way I Can
I Am Not Able To Help At This Time
*Type of Membership You Are Purchasing:
$5.00 - Special Individual One-Year (Open to students (must be 18), 2009 WHS Grads, Current & Retired Faculty & Staff
$10.00 - Recent Graduate Individual One-Year (Open to 2008, 2007, 2006 WHS Graduates)
$15.00 - Regular Individual One-Year (Open to Anyone in Categories Listed in Above Application)
$60.00 - Individual Five-Year (Open to Anyone in Categories Listed in Above Application)
$300.00 - Individual Lifetime (Open to Anyone in Categories Listed in Above Application)
*Is this a New or Renewal Membership Purchase?
New Membership
Renewal Membership
Memberships purchased during 2009-2010: Individual One-Year Memberships valid until 7/31/2010; Individual Five-Year Memberships valid until 7/31/2014; Individual Lifetime Memberships always valid. Benefits include membership card, password to Association Members Only website pages, online or in-person voting on important issues, occasional Members-Only e-newsletters.
Use the space below to include any additional information, questions, or comments:
You have 3 options to complete the Application process:
1) Click Submit to send us your information, then send your check, made payable to LPAA, to LPAA, P. O. Box 45, Selma, IN 47383; or
2) Click Submit to send us your information, then go to the WebStore on this website and purchase your membership using PayPal; or
3) Print the completed form, and mail with your check, made payable to LPAA, to LPAA, P. O. Box 45, Selma, IN 47383.

Liberty-Perry (aka Wapahani) Alumni Association

Wapahani - Center - Selma

LPAlumAssocMemberApp.

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