Wegene Youth Club Membership Form
Thank you for your interest in becoming a Wegene Youth Club member. You can visit our website by clicking on the link to learn more about us. https://www.wegene.org/get-involved/youth-club/
Please fill out the form and make a one-time $12 membership fee using the payment methods below.  
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First, middle and last name of the youth *
Date of Birth and Age *
Email address *
Cell Phone Number *
Social Media Handles
Parent/Guardian's first and last name *
Parent/Guardian E-Mail
Parent/Guardian Cell Phone
Payment Methods
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