Student Information: Name

Student Last Name

Date of birth *

Students must be between ages 11-15

Address *

Street Address

City

State

Country

Postal code

Grade At Time Of Enrollment *

Eligible Students Grades 6-9 (age 11-15)

Jr. High/High School Name *

T-Shirt Size (Men's Sizing) *

Students will be provided with a club T-Shirt free of charge

Medical Information

Medication information only needed if the student may need to take them while in our care.

Is your child currently experiencing any challenges (emotional, academic, behavioral, social, etc.) that we should be aware of?

This information helps the mentors provide targeted support

Preferred Chapter Location *We will be adding additional chapters, See Info Below if your city is not listed

Desired City, If Not Listed Above

If you are interested in starting a new chapter in your city, complete the information below.

Interested in Starting a New Chapter In Your City?

Interested in supporting The Standard Club mission? Select all that apply:

*Background check is mandatory for all Chapter Leaders, Mentors - anyone working directly with the students.

Parent/Legal Guardian Full Name *

(This individual will be our primary contact)

Contact Phone Number *

Mobile Phone Preferred

Email Address:

Alternate Contact *

Used only in the case of emergency when the primary contact cannot be reached.

By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply.Reply HELP for help or STOP to opt-out.

By submitting this form, I understand that this is an interest/pre-enrollment form and does not guarantee program placement. I agree to be contacted with additional details, orientation info, and next steps.

Parent/Guardian Signature *

Clear

Requires Legal Guardian Consent to Participate

Enrollment Date *

Privacy Policy:
All information submitted through this form is kept strictly confidential and used solely for the purposes of enrollment, program planning, and communication related to The Standard Club. We do not sell, share, or distribute personal data to any third parties. Your privacy and your child’s safety are our top priorities.

Background Check Policy:
To ensure the safety, health, and well-being of all students in our care, all program leaders, mentors, and direct service volunteers are required to undergo a comprehensive criminal background check prior to participating in any Standard Club activities. Individuals with convictions related to sexual offenses, child abuse or neglect, domestic violence, violent crimes, or other offenses deemed harmful to children or youth will be automatically disqualified from volunteer service. We are committed to maintaining a safe and supportive environment where every young man can grow, lead, and thrive.

Volunteer Commitment Policy:
All leadership and support roles within The Standard Club chapters are fulfilled by dedicated volunteers who generously offer their time, skills, and service. These positions are not compensated financially, as we rely solely on individual donations, sponsorships, and community support to fund our programming. Our impact is powered by purpose, not payroll—and we’re grateful for every leader who helps us raise the standard for the next generation.