Membership Form

Complete the form below to become a member or renew an existing membership. You can alternatively print, complete and mail in the form here.

Membership Status *

Membership Status

New Member
Renewal

Child's Info *

Name

First

Last

Gender (M/F)

Birthday

Parent/Guardian Info *

Name

First

Last

Email

Address

Address Line 1

City

State

Zip Code

Sponsor Info

(M/F) Layout Birthday

Sponsor Name

First

Last

Sponsor Email

Sponsor Address

Address Line 1

City

State

Zip Code

Newsletter Format *

Multiple Choice

PDF (sent via email, required if outside of U.S.)
U.S. Mail (sent via postal service to Parent/Guardian address)

After submitting, you will be prompted to make your initiation or renewal payment of $10. Thanks for being a member of Iridescent Nation!

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