Makiyah Scouts Application

Purpose

Makiyah Scouts is an aftercare program who is dedicated to inspire the young ladies ages 8-13 to have ambition, aim to be successful, experience new things, become familiar with themselves as their bodies and minds grow. The Makiyah Scouts is dedicated to providing a safe and positive environment for young girls and adolescents where they can be themselves, assist in their dreams and ambitions, and assist with meeting their educational needs.

Application Fee- $25 (one time payment due when application is recieved)

Monthly Membership Fee- $50

Accepts Cash, Cash App $MLWFoundation and Money Orders to The Makiyah Lee Wilson Foundation

Question Title

* 1. Name of Scout

Question Title

* 2. Parent/ Guardian

Question Title

* 3. Address

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Question Title

* 4. Contact Information

Name

Email Address

Phone Number

Question Title

* 5. Age of Scout

Question Title

* 6. Date of Birth

Question Title

* 7. Grade

Question Title

* 8. School

Question Title

* 9. Hobbies

ex. Dance

Makiyah Scouts Application

Purpose

Question Title

* 1. Name of Scout

Question Title

* 2. Parent/ Guardian

Question Title

* 3. Address

Question Title

* 4. Contact Information

Question Title

* 5. Age of Scout

Question Title

* 6. Date of Birth

Question Title

* 7. Grade

Question Title

* 8. School

Question Title

* 9. Hobbies

Question Title

* 10. Career Goals