Form Center

Join MYAC

2. Name*

3. Email*

5. Mailing Address

7. Phone Number*

8. Can you receive text messages?*
   -- Select One --YesNo

10. Emergency Contact

11. Emergency Contact Phone:

13. High School:

14. Grade:

15. Shirt Size:

17. How did you hear about MYAC?

19. While fun, MYAC requires a variety of meetings and service projects, can you put forth the needed time to attend two meetings a month? If not, what conflicts exist?

    While fun, MYAC requires a variety of meetings and service projects, can you put forth the needed time to attend two meetings a month? If not, what conflicts exist?

21. Can you attend MYAC meetings on 2nd and 4th Thursdays from 3:45-5:00 PM?*
    -- Select One --YesNo

22. Please explain any meeting conflicts:

24. MYAC is always looking to showcase new talents and ideas. What makes you awesome, or different?

25. What are some of your ideas for improving the City of Eagle?

27. By checking this box, I verify that the information contained in this application is true and accurate and that my guardian(s) are supportive of my participation in this organization.*

    1. I agree.

Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field