Saint Louis Gender Foundation

314-607-4163

info@stlgf.org

St. Louis Gender Foundation On-Line Application
Online Membership Application

Thank you for your interest in joining St. Louis Gender Foundation! Please fill out the application below, and one of our board members will contact you to discuss your application.

The items marked with * MUST be checked YES as a pre-requisite to membership.

Thank you!

Referred by:
Membership Type:
Preferred Name:
Significant Other (optional):
Mailing Name:
Mailing Address:
City:
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Primary Phone:
Secondary Phone:
E-Mail Address:
Member Status:
Do Not Send US Mail:
Club Communications:
(Check all that are allowed)
E-Mail   US Mail   Phone
Gazette Distribution Method: E-Mail   US Mail   Do Not Send
Release Mailing Address to Other Members?
Release E-Mail Address to Members?
What Other Groups Do You Belong To?
Any Comments or Concerns?

CERTIFICATIONS

I agree to conduct myself in a thoughtful and courteous manner at all times: *
I agree to refrain from the excessive use of alcohol: *
I agree to absolutely no use of drugs: *
I agree to not share, distribute, or engage in sexually explicit items or discussion: *
I agree to keep the meeting location and all information about the organizations members confidential: *
I agree to ensure my guests follow all rules that I have agreed to: *
I agree to the rules, etiquette, and photo policy: *
I certify that I am at least 21 years of age: *
Security Code: *