WDC Membership Registration Form

WDC Membership Registration Form

Whether you're signing up for one of our programs, joining as a mentee or mentor, or getting involved as a donor or volunteer — this is the form for you. Complete the form below to select your membership tier and indicate which opportunities align with your goals. Once submitted, you'll gain access to valuable resources, mentorship connections, and exclusive WDC benefits tailored to your journey.
Section 1: Personal Information

(Basic details to create a member profile.)
Signing up your child for a Youth Membership? (Only a parent or guardian can complete this form.)*

YesNo
Full Name (Required) Parent/Guardian’s Name (Required for Youth Memberships)*

First NameLast NameSuffix
Email Address (Required)*
example@example.com
Phone Number (Optional but recommended for event invites and updates)
Please enter a valid phone number.Format: (000) 000-0000.
City & State (Where are you based?)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did you hear about WDC or this program? (Optional, but helps us know what’s working!)

Facebook / InstagramFriend or FamilyGoogle searchOther
How many youth members are you signing up?
Child's Full Name*

First NameLast NameSuffix
Child's Full Name*

First NameLast NameSuffix
Child's Full Name*

First NameLast NameSuffix
Child's Full Name*

First NameLast NameSuffix

Section 2: Choose Your Membership Tier

Your membership tier determines your level of access. Whether you are joining as a participant, mentor, volunteer, or donor, select the tier that best aligns with your involvement.
Recommended Memberships Based on Your Role:

Mentees/Participants → Start with the Basic Membership for general mentorship. Consider upgrading to Pro or Elite for help with funding, advanced coaching, or strategy.

Youth Participants → Youth Membership gives full access to youth programs. Older youth or alumni can also explore Basic or Pro tiers depending on their goals.

Mentors → Mentor Membership allows you to join as a volunteer mentor. You can also choose another tier to support the community.

Volunteers → Free Membership is available, but upgrading to a paid tier gives you access to deeper support and helps sustain our work in the community.

Donors → Any tier works, but Business Sponsor includes promotional opportunities and directory listings.
🛈 Need help deciding?
Every new member can schedule a free mentorship session to get started — no payment required.

Free Membership includes access to our newsletter and occasional support, like workshops, events, or your intro session.

If you’re looking for ongoing mentorship, funding help, or one-on-one strategy, we recommend choosing a paid tier.
Note: Even Free Members must confirm their selection below to complete registration.
Select a membership level based on your goals.*

Free Member – $0 (Newsletter and occasional support)Basic Member – $9.99/month or $99/year (Directory access, general mentorship)Pro Member – $19.99/month or $199/year (Advanced mentorship, funding support)Elite Member – $49.99/month or $499/year (VIP coaching, networking)Youth Member (Under 18) – $4.99/month or $49/year (All youth programs)Mentor Membership – $9.99/month or $99/year (Sign up as a mentor)Business Sponsor – $99.99/month or $999/year (Sponsor directory listing & promo)

WDC Membership Registration Form

Section 1: Personal Information

Section 2: Choose Your Membership Tier

Section 3: Choose Your Program(s)

Section 3A: Join a Program (Mentees/Participants)

Section 3B: Support WDC (Mentors, Volunteers & Donors)

Section 4: Payment (Only for Paid Memberships)