YAP Chapter Registration
This form is required for chapter registration All data collected in strictly confidential.This is an application and required approval
Chapter leader's name *
Your answer
Chapter leader's phone *
Smartphone preferred
Your answer
Chapter leader's email *
emails must contain an @___.com .org, etc.
Your answer
What is your school's name? *
Your answer
School's mailing address *
Street, City, STATE, Zip
Your answer
What is your chapter's name?
This is optional - you do not need a name to join
Your answer
Grade level (check one)
As leader of this chapter, I will maintain a spirit of cooperation, encourage the joy of learning and endorse the goals of the Young Astronaut Program. Your initials below will indicate your acceptance of these terms *
Your answer
The users of/or subscribers to educational programs and materials sponsored or supported by The Young Astronaut Council agree not to hold the Council responsible for any injury resulting from/or proximately caused by any participant in any activity related to The Young Astronaut Council. (initial) *
Your answer
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