Club Enrollment Form (2021-2022)

Student Information

Student First Name *

Student Last Name *

Club Activity Status *

Weapon Preference *

Student Age (On January 1, 2022) *

Current Grade In School? (If Applicable)

Current School? (If Applicable)

Main Location *

Main Contact Person For This Student

First Name (If Different Than Student) 🛈

Last Name (If Different From Student) 🛈

Email Address *

Phone Number *

(Page 1 / 7)