Youth Application - DeMolay International

For more than one hundred years, DeMolay has helped boys become men of outstanding character, through dedicated mentorships and unique, hands-on life-skill programs.

APPLY TODAY

Contact Information
Name*
First Middle Last Suffix
Preferred Name
Address*
Address 2*
City*
State*
Country*
Phone*
Email*
Is this a Parent's email*
- Yes
- No
Birthdate*

Day
Month
Year
Shirt Size*
- S
- M
- L
- XL
- XXL
Additional Information
School Attending*
Grade*
Clubs, Organizations, Extracurriculars*
Favorite: (Answer at least 3)
Subject
Class
Teacher
Hobbies
Book
Movie
Video Game
App
Other
Other Information
Do you know what DeMolay Chapter you would like to join?*
- Yes
- No
What is the name of the Chapter you would like to Join?
Do you work?
- Yes
- No
- Not Applicable
Where do you work?*
Do you believe in God or a Supreme Being/Deity?
- Yes
- No
My Parents/Guardians approve of me joining DeMolay and support me in my activities.
Parent / Guardian Name*
First Last
Parent Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Parent Phone*
Parent Email*
Parent / Guardian Name
First Last
Parent Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Parent Phone
Parent Email
Signature
This section will be used later. After submission, a local representative will get in touch with you. They will then print this and have you sign it.
By signing this petition, you are hereby agreeing to join DeMolay, and live by the virtues and precepts of love for parents, belief in a higher power, courtesy, comradeship, fidelity, cleanness, and patriotism.
DeMolay Sponsor ID:_____________________________________________________

DeMolay Sponsor’s Name:_____________________________________________________

DeMolay Sponsor Signature:_____________________________________________________

Parent/Guardian Signature:_____________________________________________________

Applicant Signature:_____________________________________________________

QUICK LINKS

friends & family

FOR Members

10200 NW Ambassador Dr.,
Kansas City, MO 64153

1-800-DEMOLAY
(336-6529)

www.BeADeMolay.org is the official website of DeMolay International, and acknowledges authority and yields allegiance to DeMolay International, of which Frank S. Land was Founder.

BE
THE
BEST

YOU
CAN
BE

Wherever the road takes you, it begins here with DeMolay. Take your first step into the premiere organization for not only leaders, but extraordinary leaders of character.

APPLY TODAY

Contact Information

Additional Information

Favorite: (Answer at least 3)

Other Information

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

Signature

QUICK LINKS

friends & family

FOR Members

BETHEBEST

YOUCANBE

BE
THE
BEST

YOU
CAN
BE