Legacy Club Application

This application must be completed by an active and financial sponsoring member. If the sponsoring member is deceased, then the applicant may complete and submit this application.

Part A: Prospective Legacy Club Candidate Information

First Name *

Last Name *

Email *

Phone *

Address

Street Address

City

State

Country

Country

Postal Code

Club Name

Club President

Region

Part B: Family Member Information

Sponsoring Club Sister's Full Name

Relationship to Sponsoring Member

Daughter/Step-Daughter

Granddaughter

Mother

Grandmother

Sibling

Aunt

Niece

Cousin

Legally Adopted/Legal Ward

Is the sponsoring member living?

Yes

No

As the sponsoring member, are your financial?

Yes

No

Part C: Affirmation Statement

I affirm that the information provided in this application is accurate.

Sign here

Payment *

Legacy Application Fee

$30

*100% secure & safe payments*