WDC Membership Registration Form

WDC Membership Registration Form

Complete the form below to select your membership tier and the programs that best fit your goals. Once submitted, you’ll receive access to resources, mentorship opportunities, and exclusive WDC benefits.
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.
City & State (Where are you based?)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
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 → Recommended: Basic Membership ($9.99/month or $99/year)
Youth Participants → Recommended: Youth Membership ($4.99/month or $49.99/year)
Mentors → Recommended: Mentor Membership ($9.99/month or $99/year)
Volunteers → Recommended: Free Basic Membership (or any paid tier for more access)
Donors → Recommended: Any tier based on your level of engagement
Note: Even Free Members must confirm their selection below to complete registration.
Select a membership level based on your goals.*

Free Member – $0 (Newsletter, limited access)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)

Section 1: Personal Information