EAST YARD Membership Form (Under 18)
Email *
First Name *
Last Name *
What gender are you? *
What is your age? *
Address *
Mobile Number *
Provide a contact number for your parent/guardian *
Whose contact number was provided? *
First Name of your parent/guardian *
Last Name of you parent/guardian *
Are you a student? *
If you are a student, what school do you attend? If you do not attend school, please put N/A. *
How did you find out about the membership? *
Why do you want to be a member of EAST YARD? *
What would you like to accomplish through membership? *
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