Interact Club Membership Application Form

Fill out this application and print it BEFORE clicking "Submit" button below
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question

    PRINT this application now and THEN CLICK THE "Submit" button below. Bring this application with the following items to the next Interact club meeting:

    - Parent Release Form - Transportation Waiver - $20.00 Dues (Cash or Check to “La Jolla Rotary Foundation”) Note: The Parent Permission Form and the Transportation Waiver Form are available online. After you click "Submit" below, you'll see a confirmation message that provides you with the form links.

    Note: Incomplete applications will NOT be accepted. Don't forget to click "Submit" AFTER you print.