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Membership Application Form

Membership Application

"*" indicates required fields

Application Type*

DeMolay

Squire

Chapter*

Find your chapter at idahodemolay.org/chapters/

Contact Information

Applicant Name*

First Middle Name/Initial Last

Address*

Street Address City State ZIP Code

Best Phone Number*

Phone Type*

Home Phone

Cell Phone

Email*

Birth Date*

MM slash DD slash YYYY

Shirt Size

S

M

L

XL

XXL

Other

School

Name*

Grade*

Clubs

Organizations

Extracurriculars

Your Favorite ...

(Answer at least 3)

Subject

Class

Teacher

Hobbies

Book

Movie

Video Game

App

Other

Work*

Yes

No

Not Applicable

If you work, where?

Do you believe in God or a Supreme Being/Deity?*

Yes

No

Parents/Guardians

My Parents/Guardians approve of me joining DeMolay and support me in my activities.

Name*

First Middle Name/Initial Last

Address*

Street Address City State ZIP Code

Best Phone Number*

Phone Type*

Home Phone

Cell Phone

Email*

Add a second Parent/Guardian?

Yes

No

Name*

First Last

Address

Street Address City State ZIP Code

Best Phone Number*

Phone Type*

Home Phone

Cell Phone

Email*

Application Information

Date of Application*

MM slash DD slash YYYY

Recommended by:

Member ID

Date

MM slash DD slash YYYY

Recommended by:

Member ID

Date

MM slash DD slash YYYY

Recommended by:

Member ID

Date

MM slash DD slash YYYY

Is the applicant's father a Senior DeMolay?*

Yes

No

If yes, what Chapter?*

Does the applicant have any Masonic relatives?*

Yes

No

If yes, who and how are they related?*

Friends that may be interested:

Name

Phone

Email

Name

Phone

Email

Name

Phone

Email

Before signing below, please confirm your understanding:*

In providing your email and phone number, you are authorizing DeMolay to communicate electronically with you at the contacts listed in this application.

A membership application for DeMolay may be received only from a young man who has passed his 12th birthday and has not yet reached his 21st birthday and recommended by two members, or by a Senior DeMolay, or by a Mason.

A membership application for Squires may be received only from a young man who has passed his 9th birthday and has not reached his 12th birthday.

Membership shall be considered based on character and moral qualifications as prescribed in The Landmarks of DeMolay.

Parent/Guardian #1 Signature*

Date*

MM slash DD slash YYYY

Signature #1*

Your typed name above will serve as your electronic signature.

Parent/Guardian #2 Signature

Date

MM slash DD slash YYYY

Signature #2

Your typed name above will serve as your electronic signature.

Δ

PDF Application

EVENTS

Sep 7

6:30 pm - 8:30 pm

Star Garnet Online Chapter Meeting

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