Youth Membership Application — Diamond Footprints, Inc

Youth Membership Criteria

Youth must be between the ages of 5 and 18 years old.
Willing to partcipate in community service initiatives.
Open to taking direction.
Respectful to self and others.
Possess the internal drive to want to be greater and develop purpose.
Willing to engage, participate, and lead when neccessary.

If this describes you or your youth, apply below.

Name

First Name

Last Name

Email Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Education

Name of School

School Type

Grade Level

Guardian Information

Guardian/Parent 1

First Name

Last Name

Guardian 1 Phone #

(###)

###

####

Guardian 1 Email Address

Relationship

Guardian/Parent 2

First Name

Last Name

Guardian 2 Phone #

(###)

###

####

Guardian 2 Email Address

Relationship

ABout you

What are your interests and hobbies?

Do you participate in community service? If so, list activities. If not, list why.

Are you a member of any groups or organizations? if so, list them. If not, enter N/A.

Social Media Platforms

Check all that apply

Facebook

Instagram

Snapchat

Twitter

YouTube

Periscope

Other

None

By submitting this application, I confirm that all information is accurate and I have received permission to obtain membership by my legal guardian.