The Squad Membership Form

The Squad Giving Circle

Membership Application

Please complete this form to join our giving circle supporting Black Girls and Women.
Name

First Name Last Name
Birth Date:

Month Day Year
Email
Phone Number:

Area Code Phone Number
Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Occupation:

Organization

Title

City State / Province

Country
How did you hear about the Shero Plan?
Describe your connection to sports. Include past and present. Please select all that apply.

Athlete Coach Sports Parent Administrator
Why are you interested in joining The Squad?
What will your contribution be to the Squad? Please choose all that apply.

Time (ex. volunteer) Talent (ex. donate a skill) Treasure (ex. donate money or resources)
Have you already donated to The Squad this year?

Yes No
If not, at what level can you contribute:

Trailblazer-$360 annual membership Catalyst-$180 6 month membership Affinity-$90 3 month membership
Will you encourage others to donate or join the Squad?

Yes No Maybe
Do you volunteer or donate to any other organization or causes?

Yes No
If yes, please share more:
Important Information

Donations accepted will benefit The Shero Plan mission. Donate HERE. Follow @TheSheroPlan on Instagram.
Once you submit your application, we will contact you to discuss next steps.

Thank you!
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