Educate The Children (EtC)
Membership, Volunteer & Sponsor Application Form

Full Name*:
Address*:
City, Province/State & Zip*:
Telephone (evening):
Cell Phone :
E-Mail Address *:
I am interested as a: (please choose one)
Member (Registration $25 plus $50 Annual Dues):
Volunteer:
Agree	I agree to forward my membership registration fee of $25 plus my annual dues of $50 to the EtC.