The Circle of SistAhood

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Membership Application

Email *

First and Last name of Member: *

Date of Birth of Member: *

YYYY

Current Grade of Member for the 2023-2024 School Year *

Please list the name of the school the member attends (We love sending surprises) *

Member's Address: *

Name of Parents/Legal Guardian: *

Phone Number where a Parent can be reached: *

Emergency Contact Name and Phone Number ( please list a close relative or friend, in case we are not able to get a hold of the parent/legal guardian) *

Member T- Shirt Size: *

Youth XL

Adult Small

Adult Medium

Adult Large

Adult X- Large

Adult 2X

Other:

I fully understand that there will be a one time yearly membership fee of $45.00 for the 2023-2024 membership year that is paid directly to the organization ( an email will be sent for payment completion). This will come with a notebook, shirt, pen, and bag). *

Yes

Scholarship Request: If you are not able to pay the $45.00 membership fee, please check the box below ( someone will reach out to you for further assistance).

Check Box

I FULLY UNDERSTAND THAT I MUST ATTEND A MANDATORY PARENTS' MEETING IN ORDER FOR MY MEMBER TO BE ACCEPTED INTO THE ORGANIZATION (information will be sent via email upon receiving members application) *

YES

Required

Consent for Circle of Sistahood member/volunteer to photograph, record/visual record member ( Photo and visual may be posted on private social media pages and only used for positive promotion/intents). *

Yes, I give consent

No, I do not consent

A copy of your responses will be emailed to the address you provided.

Submit

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