Greater Bridgeport NAACP Youth Council Membership Form!
Fill out the following information that will be used to be entered into our council! Youth Council Membership portal! If you have any questions, you can contact Shia Reid, the president of the youth council.
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What is your full name?
What is your address?
What is your email?
What is your phone number?
What is your grade?
Date of birth
MM
/
DD
/
YYYY
A parent's name/phone number
Please send $10 to the advisor, Samaris Rose, via Cashapp ($samarisrose)! 

This $10 is your membership fee for the year. A few days after becoming a member, you will receive an email with your membership card validating you membership of the NAACP and showing you expiration of membership!

When sending payment for the subject put NAACP membership and child's first name. 

We are so happy to have you part of our Youth Council! If you have any question, please state them below>
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