Squire Membership Form

Squire Application

Date

Full Name

Email

Phone

Date of Birth

School Attending

Grade

Father's Name

Is Your Father a Senior DeMolay?

- Select -YesNo

Is Your Father a Mason?

- Select -YesNo

Father's Phone

Father's Email

Father's Address (if different)

Mother's Name

Is Your Mother a Past Rainbow?

- Select -YesNo

Is Your Mother a Past Job's?

- Select -YesNo

Is Your Mother an Eastern Star?

- Select -YesNo

Mother's Phone

Mother's Email

Mother's Address (if different)

Submit

Leave this field blank