APS Sponsored-Youth Membership Application_digital

Date *

This form is a Sponsored-Youth-Member Application *

I am a Youth (under 18) [18 and over use Adult-Member Application]

Release Requirements *

I understand that a signed Release must accompany my application [Parent sends signed release to Adult Sponsor]

Sponsorship Requirement *

I understand that I must have an adult sponsor who is an APS Member

Name of APS Adult-Member who is your Sponsor *

Phone Number of Adult Sponsor *

Please check here if this form shows CHANGED contact information

Change in Contact Info ONLY
Change in Contact Info + RENEWAL

Sponsored-Youth's Name *

Street Address *

City, State, Zip *

Phone *

Alternate Phone

Email address

Website

Alternate Street Address

Alternate City, State, Zip

Membership

Renewal
New Member

If New Member...how did you hear about APS? [Newspaper, Magazine, APS Website, Facebook, Meetup, Friend, Other?]

Expectations from APS? How can APS serve you?

Pay by check

I will send a check (made to "APS")...to... Susan Voorhees, Membership Chair, 55 Woodward Ave , Asheville, NC 28804 (828) 253-4628

Pay with PayPal or Credit Card

I will pay with PayPal or Credit Card (on APS Website "JOIN" Page)

Message