Member Application & Registration Form

Member Application Form

The Way Club is a faith-based social club catered to high school-aged teenagers. Our mission is to inspire the next generation to live a safe and healthy lifestyle for the betterment of themselves and their community by meeting their recreational, developmental, and spiritual needs.
Thank you for your interest in applying. We look forward to reviewing your application. Please complete this entire form. This form has 4 parts: (1) General Information, (2) T-Shirt Size, (3) Member Meet & Greet and (4) Youth Code of Conduct.

If you have any questions or issues with the application, please contact the Executive Director, Monique Harrington, at mharrington@wayclub.org or 610-864-6967.
General Information
Member Name *

First Name Middle Name Last Name
Preferred Name (Nickname)
Gender *
Birth Date *

Month Day Year
Age *
High School *
Grade *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Member E-mail *
example@example.com
Member Mobile Number *
Parent/Guardian Name *

First Name Last Name
Parent/Guardian Relationship To Applicant *
Parent/Guardian Email *
example@example.com
Parent/Guardian Phone Number *
Please enter a valid phone number.
Have you attended a Way Club Info Session? *

Yes No
Why would you like to be a member of Way Club? *
How will you bring value to the social club? *
What are your favorite social activities and interests? *
What career paths are you currently interested in? *
Please list any extracurricular activities you participate in. *
If accepted, I agree to attend and fully participate in the 2-Week Summer Growth Academy. The 2022, program dates are July 11-24. *

I agree
How did you hear about The Way Club? *
T-Shirt Size
Please provide your t-shirt size below. *

XS S M L XL 2XL
Youth Code of Conduct

The primary purpose of the Way Club Youth Code of Conduct is to ensure the safety and well-being of all participants at events and activities. It applies to all participants including the members, their parents, and volunteers.
As a member of Way Club, I will:
- Conduct myself in a courteous manner and treat members, parents, volunteers, staff, and others with respect. Appropriate language and behavior are expected at all times.
- Respect and adhere to the rules and guidelines of the club.
- Uphold an individual’s right to dignity by supporting an environment of inclusion which welcomes involvement of participants from all backgrounds.
- Obey local, state and federal laws.
I understand if I fail to adhere to the above Code of Conduct, I will be subject to disciplinary action and potentially prohibited from attending and participating in events and future programs at Way Club.

By signing below I confirm that I have reviewed and agree to adhere to the Way Club Code of Conduct.
Code of Conduct: Signature of Member *

Clear
Date of Signature *

Month Day Year
Date
Application Year
Accepted
Notes
Should be Empty:

Member Application Form

General Information

T-Shirt Size

Youth Code of Conduct