I'm Interested in Joining The Beacon 
Thank you for your interest in becoming part of The Beacon community! 
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Member First Name  *
Member Last Name  *
Preferred name
Date of Birth *
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How old are you? *
What are your pronouns?
(they/them/theirs, she/her/hers, he/him/his)
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What school do you attend? *
What grade are you in? *
Member Email Address *
Member Cell Phone  *
What communication method do you prefer? *
Member's Home Address *
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