Form

Prospective Member Information

Please complete the Prospective Member Information Form to be added to our mailing list and to find out about future League events and the 2025 recruitment dates!

* Indicates a required field

First Name

Middle Name

Last Name

Maiden Name

Mailing Address

City

State

Zip Code

Work Phone

Home Phone

Cell Phone

Date of Birth

How did you learn about the League?

Please note that if you have been an Active Member of another Junior League you will need to transfer your membership to JLLA. For information on how to transfer your membership, please contact our Membership Vice President at membership@jlla.org.

Stay up to date with upcoming events and programs throughout the year by following JLLA on Facebook ¦ Instagram ¦ Twitter

Cancel