GTC Membership Interest Form

GREATER TAMPA CHAPTER

JACK AND JILL OF AMERICA, INC.

MEMBERSHIP INTEREST FORM

Thank you for your interest! We are a membership organization of mothers with children ages 2 to 19, dedicated to nurturing future leaders by supporting children through leadership development, volunteer service, philanthropic giving and civic duty. Jack and Jill has 252 local chapters within 7 geographical regions in the United States.

Become a Member
If you are interested in becoming a member of this chapter of Jack and Jill of America, Inc., you must be sponsored by a member(s) of the chapter. You will be invited to attend a meeting where pertinent information, such as the qualifications, cost, selection process, and other information will be discussed.

An individual meeting all requirements and qualifications must then be approved by chapter vote to complete the selection process. Each chapter is autonomous and has specific criteria for sponsoring new members.

Date:

Date

Name:*

First NameLast Name

Email:*

example@example.com

Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number:*

Please enter a valid phone number.

Children's Information:

	Children's Name	Children's Age	Children's Grade	Children's School
1
2
3
4

Please list the names of any Moms you know in the Greater Tampa Chapter:

Thank you for your interest in joining the Greater Tampa Chapter of Jack and Jill of America, Incorporated. We look forward to meeting you.