Saackoe@gmail.com

Sr/Jr Kappa League Interest Form

Please use this form to tell us more about your young man/men.
Junior Kappa League - Grades 6th through 8th

Senior Kappa League - Grades 9th through 12th
Child Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Email
example@example.com
Parent/Guardian Phone Number
Grade level*
School attending
Son or Grandson of a Kappa?
If yes, provide name
What would you like to see your child gain from Kappa League?
Who referred you to Kappa League?

Guardian Contact Information*

	Name	Phone Number	Relationship
Contact
2nd Contact

Upload Photo

Optional
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Student Photo
Parent Signature*

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Privacy Statement: The personal information above is collected in order to evaluate the volunteer candidates during the evaluation process.

By signing this, I acknowledge that the information I've given is accurate.
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Sr/Jr Kappa League Interest Form