Start your enrollment to by completing the Drug Free Clubs Of America application below and forwarding us the resulting page via mail along with the $65.00 enrollment fee. If you would like to pay online, click the "Add To Cart" button below for a secure transaction through PAYPAL. Then complete the form.

Dues Options

DRUG FREE CLUBS APPLICATION

Chapter Information
School Name
Address
City
State / Zip
Home Information
Parent / Guardian Names
Home Address
City
State . Zip
Phone #(s)
Email(s)
Member Information
Student Name
Age / Gender
Grade / Date Of Birth
Student Email

CONSENT
I consent to the taking of specimens for drug screening as part of an examination in connection with enrollment into Drug Free Clubs of America. I also authorize the release of those results to Drug Free Clubs of America and my parent or guardian.


PROGRAM - FAQ's - ABOUT US - ARTICLES - PARENTS - PARTICIPANTS - PRESS - LINKS - SURVEY - CONTACT
ONLINE PRIVACY
© 2006 Drug Free Clubs Of America, INC