YOUNG LIONS APPLICATION


Please fill out the form below in its entirety. Both student and parent/guardian must be present at the time of submission.


Parent or Guardian Name *
Parent or Guardian Name
Parent or Guardian Name
Parent or Guardian Name
Student's Name *
Student's Name
Address *
Address
Home Phone
Home Phone
Cell Phone
Cell Phone
Birth Date *
Birth Date
Will you attend the meetings regularly? *
Will you conduct yourself with pride and with respect for yourself and others at school, at home, and with your friends as a member of Young Lions? *
Please type your name below. This will serve as your electronic signature.
Please type your name below. This will serve as your electronic signature.
Today's Date *
Today's Date