1. Name:
2. Date:
3. Address:
4. City:
5. State & Zip:
6. Phone:
E-Mail:
7. Date of Birth:
8. School Attending:
9. Grade:
10. Favorite School Subject(s):
11. Hobbies/Interests:
12. Clubs, Organizations:
13. Church/Synagogue:
14. References: List 3 friends (your age) you have known
for one year.
Name:
Address:
Phone:
Name:
Address:
Phone:
Name:
Address:
Phone:
_____________________________________________________________
My Parents/Guardians approve of my joining DeMolay.
15. Father’s Name:
16. Mother’s Name:
17. Is your father a Senior DeMolay?
If so, where?
18. Is your father a Mason?
If so, where?
19. Parent/Guardian Full Name:
20. DeMolay Sponsor’s Name (If Applicable):
20B. Second DeMolay Sponsor’s Name (If Applicable):
22. Masonic Sponsor’s Name (If Applicable):
