Membership Form

My Entry-Headline

First Name

Last Name

Address1

Address2

City

State

ZIP

Telephone

E-mail

Are you a California parent?

Profession

Child's Grade(s)

I am aware of the activities of CAPEEM and that CAPEEM has filed a lawsuit (the “Lawsuit”) against the members of State Board of Education and officials of Department of Education. I am also aware that I personally do not have any liability in the lawsuit. I hereby authorize CAPEEM to represent me and my children in the lawsuit.