Order of the Squires
Of the Round Table
Membership Application
**An Organization for Boys 8-11**
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First Name |
Last Name |
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Address |
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City |
State |
Zip |
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Phone |
Date of Birth |
Grade |
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School |
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Parents Name |
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Father ever been a DeMolay |
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If so, where & when? |
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Recommended by? |
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Top Line Signer |
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Signature of applicant |
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Signature of Parent/Guardian |
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Date |
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Signature of Sir Knight |
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Date Initiated |
Fee of $10.00 |
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