Hampton Roads Young Democrats Membership Form
Thank you for your interest in joining the Hampton Roads Young Democrats! By filling out this form, you are confirming you are a Democrat and committing to the values of the Democratic Party of Virginia, Virginia Young Democrats and local Democratic committees.

After submitting your application, please submit your voluntary $10 membership dues here. These annual dues help us provide unique programming, host events, and invest in you, our members. If you are under the age of 18 and cannot legally donate, please have your parent or other adult pay your dues on your behalf. 
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Email *
Are you a New or Returning Member? *
First Name *
Last Name *
Pronouns *
Date of Birth *
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Mailing Address *
City *
Zip Code *
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