Cobra Youth Membership Application
Cobra Youth Membership Application Name:_______________________________________________
Code Name:__________________________________________
Primary Specialty:_____________________________________________
Secondary Specialty:_____________________________________________
Address:_______________________________________________
City:________________________________State:________
Zip Code:_____________Phone#_____________________________
Email:____________________________________
Other Affiliates(Bands, Groups, Companies,Gangs,etc..)
_______________________________________________________________
_______________________________________________________________
In the space below, write a 5 to 50 word essay explaining what you would do to help Cobra Youth in our quest for world domination (writing that you would do anything is not acceptable) Your rank will be determined by the quality of your essay.