2022 Brotherhood Membership Application
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School Name
Student Full Name
Age
Grade Level
Full Street Address
Telephone #
Parent(s) Full Name
Email Address
Emergency Contact Name
Emergency Contact Tele #
Are there any medical conditions (i.e. allergies, epilepsy, asthma, diabetes, travel sickness, etc) we should be aware of?  If so, please explain.
What's your favorite sport(s)
T-Shirt Size
Clear selection
By submitting this form, I agree to allow my son to participate in The Brotherhood events and activities.  I understand that every care and precautionary measure will be taken to ensure the health, safety, and welfare of your child.  
Thank you for your interest in joining The Brotherhood B2M
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