SHED Membership Application Name * First Name Last Name Email * Gender * Male Female Non-binary Prefer not to disclose School Birthdate * Cell Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Parent's Contact Info * First Name Last Name Parent's Cell Phone (###) ### #### How did you hear about us? * Thank you for you application, we will be in touch with you soon!
