Membership Application

Applicant's Information

Name *

First Name

Middle Initial

Last Name

Address *

Address Line 1

City

State

Zip Code

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Home Phone

Cell Phone

Preferred Phone

Best Email Address *

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

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Birth Date *

Shirt Size

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School Grade

School Attending

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School Clubs

Favorite Subject

Hobies

Favorite Video Game

School Organizations

Favorite Class

Favorite Book

Favorite App

School Extracurriculars

Favorite Teacher

Favorite Movie

Other

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Do you work?

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Do you believe in God or a Sumpreme Being/Diety?

Do you believe in God or a Sumpreme Being/Diety

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

Parent/Guardian Name *

First Name

Last Name

Preferred Contact Method *

Email *

Best Phone

Zip Code *

Parent/Guardian Name

First Name

Last Name

Preferred Contact Method

Best Phone

Zip Code *

Age *

How to Join DeMolay

If you’re interested in joining DeMolay, you’ve come to the right place! Simply have your parent or guardian fill out the form here and we’ll have a representative contact them as soon as possible to get you on your path to becoming a member of the greatest youth fraternity in the world!

Helpful Links

Applicant's Information

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

Quick Links

Friends & Family