DeMolay Petition for Membership An Organization for Young Men Full Name(required) Date(required) Address(required) City(required) State & Zip(required) Phone(required) Birthdate(required) School Attending(required) Grade(required) Favorite School Subject(s)(required) Hobbies/Interests(required) Clubs, Organizations(required) Church/Synagogue(required) References; List 3 friends (your age) you have known for one year.(required) Father's Name(required) Mother's Name(required) Is your Father a Senior DeMolay?(required) Yes No If so, where? Is your father a Mason?(required) Yes No If so, where? First Line Signer's Name(required) Second Line Signer's Name(required) If this petition was referred by a female, enter name. My Parents/Guardians approve of my joining DeMolay.(required) Yes No
