Individual Online Form

Individual Application

Thank you for your interest in joining the Grand Council of Guardians, Inc. We would appreciate you furnishing the following information and submitting this application.

If you prefer to not register online click here to fill in and print out the application and mail it to us.
Type of membership*
- New
- Renewal
Name*
First Last
Email*
Home Address*
Street Address Address Line 2 City State ZIP Code
Telephone/Cell
Rank/Title
Shield/ID#
City Agency
Inst. /Com
List below your interests or special skills (Ex. Entertainment, Community, Education Committees)
Emergency Contact
Relationship
Address
Street Address Address Line 2 City State ZIP Code
Phone
I hereby apply for membership to the Grand Council of Guardians Inc.
There is a $25 fee for this application. You must submit your payment via Chase QuickPay | Zelle after submitting your application.
Chase QuickPay | Zelle

Send your payment to

Individual Application

I hereby apply for membership to the Grand Council of Guardians Inc.

Chase QuickPay | Zelle