2022 No More Che Day Form

YAF Individual Membership Request - Students

NO MORE CHE DAY REQUEST FORM
* Required fields
Email: *	I want to opt-in to receive text messages
Salutation: *
First Name: *
Last Name: *
Current Mailing Address
Street: *
City: *
State *
International State, Providence or Region (if applicable)
Postal Code or Zip Code *
Country *
Home Address	Only select this box if "Current Mailing Address" is your "Home Address"
Street: *
City: *
State *
International State, Providence or Region (if applicable)
Postal Code or Zip Code *
Country *
Sex: *
Cell Phone: *
Birthdate: *	Month: Day: Year:
I am a: *
College Name *
Anticipated College Graduation Date *
High School *
Middle School: *
High School Graduation Date: * If Middle School, please select anticpated high school grad date.
Are you in an active YAF chapter at your school? (this is not the same as a YAF Individual Membership)

All required fields must be completed before this form will submit.

NO MORE CHE DAY REQUEST FORM