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

First Name

Last Name

Parent or Guardian Name

First Name

Last Name

Student's Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone

(###)

###

####

Cell Phone

(###)

###

####

Email

School

Grade

Birth Date

MM

DD

YYYY

In your own words, why do you want to join Young Lions?

Will you attend the meetings regularly?

Yes

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?

Yes

STUDENT: Having gone through the interview for membership in Young Lions, I understand the expectations and responsibilities that I will be called upon to fulfill. I pledge to always apply myself to attend Young Lions meetings and to conduct myself in a manner appropriate for a member of Young Lions .

Please type your name below. This will serve as your electronic signature.

PARENT/GUARDIAN: As a parent/guardian of a Young Lions member, I pledge to encourage my son to be a consistent attendee of the weekly meetings and monthly field trips, and to show my support for him at home and through attending special family events.

Please type your name below. This will serve as your electronic signature.

Today's Date

MM

DD

YYYY

YOUNG LIONS APPLICATION

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