Type of Accounts to be Opened Type of Accounts to be Opened I would like to open a savings accountI would like to open a savings account with ATM Card (age 10+)I would like to open a savings account and checking account with Debit MasterCard (age 13+) School * Select a Location Bishop Flaget Bloom-Vernon Elementary School Chillicothe High School Chillicothe Intermediate Chillicothe Middle School Christian Life Academy Eastern Elementary Eastern High School Eastern Middle School Huntington Elementary School Huntington High School Huntington Middle School Jackson High School Jackson Middle School Jasper Elementary Logan High School Logan Middle School Lucasville Valley Elementary Lucasville Valley High School Lucasville Valley Middle School Minford Elementary Minford Middle School Northview Northwest High School Oak Hill Elementary School Oak Hill High School Oak Hill Middle School Pickaway – Ross CTC Pike Christian Academy Pike CTC Piketon Jr/ Sr High School Portsmouth Elementary Scioto County CTC Sciotoville East High School South Webster Jr./Sr. High School Southview St. Peter & Paul Tri- County CTC Union Furnace Elementary School (Logan) Unioto Elementary School Unioto High School Unioto Middle School Waverly High School Wellston High School Wellston Intermediate School Wellston Middle School Western Elementary Western Jr/Sr High School Westview Wheelersburg Middle School other Grade * Homeroom Teacher * Student Information Full Name * Birth Date * Social Security Number * Address * City * State * Please select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ZIP Code * Phone * Email Address * Gender MaleFemaleDecline Drivers License * If you are a currently licensed driver, please upload a file of a copy of your drivers license. If you are too young to be a licensed driver, please upload a file of a copy of your parent or legal guardian's drivers license. Upload file Please upload either a JPG or a PDF Joint Owner Information (Required under age 16) Full Name Birth Date Social Security Number Address City State Please select Ohio U.S. ZIP code Phone Occupation Relationship to Student Gender MaleFemaleDecline Email Are you an exiting Atomic member? Existing Atomic Member? * YesNo I agree to the terms and conditions By accepting the terms and conditions, I hereby make applications for membership in & agree to conform to the bylaws and amendments of Atomic Credit Union. I also agree to the terms & conditions of the account that I have in the Credit Union now or in the future & agree that the Credit Union may change those terms and conditions from time to time. The undersigned shall indemnify & hold the Credit Union harmless from any and all loss or damage resulting from the actions of the Minor Child including overdrafts, check kiting and/or money laundering & will be liable for all reasonable costs of collection including attorney fees & expenses. In the event of an overdraft caused by the actions of the Minor Child, the undersigned shall promptly pay the amount of overdraft & associated fees. The Credit Union is authorized to back charge or debit any other account owned by the undersigned in the event of the loss in this account caused by the actions of the minor child, to the extent of the law. I agree that Atomic Credit Union may use my student’s photo in promotional materials. IMPORTANT INFORMATION: The USA Patriot Act requires verification of identity. Please provide a photocopy of the parent/guardian picture ID along with your opening deposit. Note: The above information is required. We cannot open the account until it is received. If you are an existing Atomic Credit Union member & we already have a photocopy of your ID on file, you will not need to submit another. If you do not have access to a copier or scanner, you can take a clear picture of the ID with a camera phone and this can be emailed to firstname.lastname@example.org, or copies can be made at any Atomic branch. You can also upload a picture of your ID on our website at www.atomiccu.com.