Join DeMolay

Congratulations on deciding to join the world's greatest youth organization for young men! By filling out the application below, you'll be well on your way to leading a successful, happy, and productive life. You're going to need a parent or guardian's approval of you joining DeMolay. It's easy though...just fill out the form below and you'll be contacted by a representative of DeMolay International to start the process of becoming a member!

Please note that each Jurisdiction and Chapter have differerent lifetime membership fees. When you are contacted about joining, they will advise as to what the local fee is.

My Personal Information

Please fill in all fields completely and accurately
First Name:
Middle Name:
Last Name:
Address:
City:
State:
Zip:
Phone:
E-Mail:
Date of Birth:
School Attending:
Grade:
Favorite School Subject(s):
Hobbies/Interests:
Clubs/Organizations:
Church/Synagogue:

My References

List three (3) friends (your age) you have known for one year
Reference #1 Name:
Address:
City:
State:
Zip:
Phone:
E-Mail:
Reference #2 Name:
Address:
City:
State:
Zip:
Phone:
E-Mail:
Reference #3 Name:
Address:
City:
State:
Zip:
Phone:
E-Mail:

My Parent [s] / Guardian [s]

Your Parents/Guardians approve of you joining DeMolay
Father's Name:
Mother's Name:
Is Your Father a Senior DeMolay?
 Yes No
If yes, where?
Is Your Father a Mason?
Yes No
If yes, where?

Signatures

By checking this box, you are "signing" this membership application.
  By clicking submit, you agree to be contacted by a representative of DeMolay International to complete the process of joining DeMolay.