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Become a Member

Interested in becoming a registered member of Memphis Teen Vision? Please submit the following form! It's that easy!

Member Registration Form

Fields marked with * are required.

Organization Name*

Organization Contact*

Contact Telephone Number*

Contact Email*

Organization Address*

Organization Website Address

Vision Statement

Mission Statement

Programs for Teen Pregnancy Prevention

Programs or Services for Pregnant Teens

Programs or Services for Parenting Teens

I am authorized to register my organization with MemTV.

A future where all teens are taught comprehensive sex education, teens' onset of sexual intercourse is delayed, teen pregnancies are reduced/eliminated, and teen parents are provided assistance.

Coordinated community response to teen pregnancy and parenting that includes:

  • Comprehensive sex education for teens including abstinence and contraceptive information
  • Services, support, and education to pregnant and parenting teens
  • Strong policies and programs that promote adolescent sexual health

I have read and agree with the vision and mission of MemTV.*

Member Registration