Application

Thrive On Membership Application

General Information

* Indicates required field

Member Information *

First

Last

Emergency Contact Info *

First

Last

Phone Number *

EC Phone *

Email *

EC Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

EC Address *

Line 1

Line 2

City

State

Zip Code

Country

Birthdate *

Relationship to Member *

School *

Grade In School *

About the Candidate

In this section, we would like to learn more about YOU. Please don't stress over the answers, because there are no wrong answers!!

*I verify that all of the above information is true, complete, and correct to the best of my knowledge. I understand that membership in Y.E.S. is a volunteer activity and that I will not be paid for my activities. I also understand that as a member of Y.E.S. that I will be required to attend a variety of organization trainings, events and activities. *

I Agree

Submit