Save & Return

Use an account to return to saved work.

Household / Adult Primary Contact

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

How many youth are you registering today? *

Parent's/ Guardian's First Name *

Last Name *

Relationship to Particpiant *

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 toParticipant *

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 this event? *

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)