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Junior Membership Application
Become a Junior Member! Must be Age 15-17 to apply. Complete the application and once the officers and membership have reviewed your application and voted on it we will be in contact with further steps. 
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Email *
First Name *
Last Name *
Physical Address *
City *
State *
Zip *
Mailing Address (If Different)
Date of Birth *
MM
/
DD
/
YYYY
Age *
Phone # *
What school do you attend? *
What grade are you in? *
Are all your class grades "C" or above? *
Do you agree to abide by the Rules and Regulations set forth by the department in regards to Junior Membership? *
Required
Parent/Guardian Name
Parent/Guardian Phone Number *
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