Assisteens Enrollment/New Member Form

  • Please enter a value between 10 and 19.
  • Please enter a value between 7 and 12.
  • Please include insurance company name, policy number and expiration date.
  • (clubs, sports, student government, academia, music, drama, etc)
  • (hobbies, interests, religious activities, talents)
  • I have read and agree to the member privacy policy.
  • I have read and agree to the ethics policy.
  • Please upload your SIGNED photo release form.
    Accepted file types: jpg, png, pdf.
    When paying by Credit Card there is a processing fee.
  • $0.00