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Household / Adult Primary Contact

MYNA Event Waiver and Release form are at the end of the registration form.

Number of youth you want to register today *

Parent's/ Guardian's First Name *

Last Name *

Relationship to Camper *

Mother

Father

Guardian

Other Other

Address 1 *

City *

State *

Zip *

Cell Phone *

Do you wish to receive text messages from MYNA about future events, camps, fundraising initiatives and more? *

YES

NO

Home Phone:

Email Address *

Confirm Email Address *

Second Emergency Contact Person

First Name *

Last Name *

Relationship to Camper *

Mother

Father

Guardian

Other Other

Cell Phone: *

Home Phone

Email Address *

Confirm Email Address *

Please email me updates (You MUST Check this box if you want to receive a confirmation email with important event related documents like packing list, advisor contact information, dress code, etc)

How did you or your camper(s) hear about camp? *

Adult Volunteer: Would you be available as an adult volunteer for the camp? There are several volunteer options available. We may need cooks and assistant cooks as well as general chaperones/volunteers. You will still be required to apply through the counselor application (below) and go through an official background check to confirm eligibility. *

YES - EITHER ROLE

YES - COOK or ASSISTANT COOK (Pennsylvania or Georgia)

YES - CHAPERONE or VOLUNTEER

NO - NEITHER ROLE

Adult Volunteer Application Form.

If you would like to be considered for any adult volunteer positions. You must fill this applcation out: https://fs8.formsite.com/isnayouth/MYNACounselorApp/index

Please enter Sponsorship Code (If Applicable)
(Discount will be taken off total at payment page at the very end of registration form)
(DO Not enter in Flash Sale Codes here, they can be entered later in the registration form)