Assisteens Applicant Information



Address(Required)


Assisteen Birthdate(Required)


Gender(Required)


New or Returning to Assisteens?(Required)


Please tell us a little more about you!





Is your parent or grandparent a member of Assistance League?(Required)


Parent/Guardian Information

Parent/Guardian Name(Required)


Secondary Parent/Guardian Name
Does the secondary parent/guardian want to receive an email notification of meetings?



Emergency Information

Code of Conduct - Read and Sign

I understand that my attitude and behavior are critical to the success and reputation of the Assisteens Auxiliary. For the good of the organization and my fellow Assisteens, I agree to abide by the following:


  1. will fulfill the expectations of my membership in accordance with Policies of Assisteen Auxiliaries. I will conduct myself in an appropriate manner at all times while participating in Assisteens activities.


  2. I will respect fellow Assisteens members and all those with whom I come in contact through Assisteens programs and events.


  3. I understand that bullying and harassment will not be tolerated and may result in revocation of membership.


  4. I understand that the use of tobacco, alcohol, drugs or gambling will not be tolerated at any Assisteens activity, and may result in revocation of membership.


  5. I understand that use of electronic devices during meetings is prohibited. I also agree that I will carefully consider any material placed on the internet or posted in any form of social media in order to preserve and protect the name, image and reputation of Assistance League and Assisteens. I further understand that posting of inappropriate photos or videos will not be tolerated and may result in revocation of membership.


  6. I understand that if I am sent home early due to any misconduct or illness, it will be at the expense of my parent/guardian. In case of such an occurrence, the supervising adults will contact my parent/guardian and will, if necessary, make the travel arrangements.


  7. I understand that if I need to leave an Assisteens activity before it is over, I will notify the adult in charge.


Assisteens E-Signature(Required)



Payment