Parent/Guardian Name* First Last Addressaddress used to register the student at Hinsdale Central Street Address City State / Province / Region ZIP / Postal Code Email to send confirmation* email address used during registration of student at Hinsdale Central; a receipt will be emailed to youStudent Name*if you have multiple students at Central, you only need to include the name of one First Last Grade of student during current school year*FreshmanSophomoreJuniorSeniorGraduation Yr*20252026202720282029Membership Dues Price: Will you cover the PayPal fee?2%($65) + $0.49 Yes PayPal Fee Price: $0.00 Total $0.00 EmailThis field is for validation purposes and should be left unchanged.