Register a WE THE FUTURE Club

Fill out this form to Register a WE THE FUTURE club.

Your WE THE FUTURE Club Name

Enter a name for your club. Examples: The WE THE FUTURE Club of Wagner College, The Eastside High WE THE FUTURE Club, The Jersey City WE THE FUTURE Club.

Contact Name *

Age *

Please enter your age.

Address

Address *

City *

State *

Zip *

Is this the same address where print materials can be sent? *

Yes

Mailing Address

Address

City

State

Zip

Email *

Telephone *

Club Type *

School

Community

Is your We The Future group a school group or a community group?

Name of School

Address of School

Address

City

State

Zip

School Advisor's Name

Advisor's Email

3 Skills/Interests

Please enter 3 skills or interests.

Where did you hear about Cancer Schmancer?

I have read and agree to the WE THE FUTURE Charter & Terms. *

Yes

If under 13, I have permission from a parent/guardian to start a WE THE FUTURE club. *

I am under 13 and I have my parent's permission.

I am 13 or older.

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Register a WE THE FUTURE Club

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