St. Mary School of Luxemburg - MEMBER APPLICATION

	Member Application
	Fill out the form below to request a login and password for access to the Member pages within this site. The Member Area includes school newsletters, classroom activities and photos. Images and names on the member pages include staff and students working together or showing us their pride in a job well done. For the protection of staff members and students we'd like to screen all membership applicants. We will be following up on your request for membership by calling the contact person at the phone number indicated below and possibly calling you for a quick phone interview. Expect the turn-around time of your request to take about 2-4 days. Indication of your approval will be emailed to you or you will receive a phone call.

Please tell us your name and how we might contact you:

	Name:
	E-mail:
	Telephone#:

Please tell us your relationship to the school or someone at the school, the name and phone number of somebody whom we may call to validate your membership application.

	Relationship:
	Contact Name:
	Contact Tel#:

Please explain in words the reason for this application and your relationship to St. Mary School in the space provided below:

Enter in your requested login ID and Password.
(Please try not to use special characters such as "<>'&*()^%. " or a space. )
(We suggest using your e-mail address and password. )
(A space will be converted to an underscore "_")

Login ID:
2nd Login ID: (if first is taken)
Password:
Re-Type Password:

Copyright © 2001 St. Mary School. All rights reserved. Revised: March 12, 2002 .

Copyright © 2001 St. Mary School. All rights reserved.
Revised: March 12, 2002 .