Hardin Co Young Democrats
Membership Application for Hardin County Young Democrats Chapter - Hardin Co. Kentucky
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First and Last Name *
What is your age? *
This helps us understand the diversity and demographic information for our membership!
What are your pronouns? *
How do you identify?
What would you like to see our chapter do? *
Let us know what you would like this chapter to do in our community.
What is the best way to contact you? *
After selecting, please place either your number and/or email in the boxes below!!
Email address *
If you prefer phone number, please put “NA” in this box, unless you'd like to share both!
Phone number *
If you prefer email, please put “NA” in this box, unless you'd like to share both!
Would you be interested in volunteer service? *
Would you like to be placed on a volunteer list to help us get Democrats elected in Hardin County and Kentucky?
If yes, what type of volunteer service would you like to do?
By selecting the “I agree” box below, you understand that in order to become an active (Voting) member of the Hardin County Young Dems Chapter, you must pay your membership dues of $20.00 to our Treasurer.  *
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