01. DLA Kappa League NEW Interest Form

Denton-Lewisville (TX) Alumni Chapter of

Kappa Alpha Psi Fraternity, Inc.,

Kappa League Youth Leadership Development Program Questionnaire.

New Interest Form

If you are Returning Kappa League member, go to the Returning Member form.
Student Information
Student Name

First NameMiddle NameLast NameSuffix
Student Email
Student Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState

Zip Code
Student Date of Birth

MonthDayYear
Date
Year in School Beginning Fall 2025
T-Shirt Size
Blazer Size
School District attended beginning Fall 2025
If Other Please Type in District
Select School attended beginning Fall 2025
If Other Please Type in School
Does you or child have any food allergies?
If, "yes" please list all food allergies
Primary Parent/Guardian Contact information
Relationship to Student
Parent/Guardian Name

First NameLast NameSuffix
Address

Street Address

Street Address Line 2

CityState

Zip Code
Primary Parent Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Primary Parent Email
Alternate Parent/Guardian Contact information
Relationship to Student
Parent/Guardian Name

First NameMiddle NameLast NameSuffix
Address

Street Address

Street Address Line 2

CityState

Zip Code
Alternate Parent Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Alternate Parent Email
Emergency Contact Details
In case of an emergency who else may we contact. Please provide Name, Relationship, Phone number, Email address of person authorized for us to contact if Primary and Alternate Point of Contact is not available.
Additional Student Information
Upload Image of your school ID or Front facing photo

Photos are used only for identification purposes.
Cancelof
Extra Curricular Activities
If "Other" please enter it here
Interests/Skills
If "Other" please enter it here
Sports/Competitive Activities
If "Other" please enter it here
Questionaire
Tell us about how you learned about Kappa League

500 character limit0/500
What attracted you to learn more about becoming a Kappa League member?

150 character limit0/150
Do you know any current prospective Kappa League members?
If "Yes" please provide Name and how you know them.
Are any members of your family a member of Kappa Alpha Psi Fraternity Inc.,?
If "Yes" please provide Name and relationship to you.
Do you have support of your Parent/Guardians to participate Kappa League?
Can you commit to at least two meetings per month?
Are there any male friends or family members in your age group you would like to recommend to join you?
If "Yes" please provide Name, Phone, and Email
Have you received and completed the COVID-19 vaccination series
If "Yes" or "Partial" are able to present card as needed?
Thank you for your time in filling out this form.

Please press Submit, and a Kappa League representative will reach out.

Kappa League is a service program of Kappa Alpha Psi Fraternity, Inc.

Kappa League is operated and supported by Denton-Lewisville (TX) Alumni Chapter of Kappa Alpha Psi Fraternity Inc., a 501(C)(7) with additional support from the Denton-Lewisville DLGR Foundation, a 501 (C)(3) organization.
Should be Empty:

Student Information

Primary Parent/Guardian Contact information

Alternate Parent/Guardian Contact information

Emergency Contact Details

Additional Student Information

Questionaire