MJP Adult Registration 2023-2024
BEWARE: Not all school emails allow outside organizations to reply. This will cause your confirmation email with the website password information to be lost. Before registering, verify your email address will receive emails from Google and the Virginia YMCA.

NOTE: A confirmation email will be sent with a password to access all MJP documents . Do not share your password. 
登录 Google 即可保存进度。了解详情
电子邮件地址 *
Adult Name *
School or YMCA Name *
Are you the primary Advisor for your group? *
If you are not the primary Advisor, who is?
First and last name
In order to register, all participants (including advisors) must agree to the code of conduct listed above (or on the registration page of the MJP website). Check the box below to signify you understand, agree to, and have read the requirements. *
必填
Adult Signature *
By typing in your name below, you agree your electronic signature is the legal equivalent to your manual/handwritten signature and agree to the terms and conditions of this registration form. You further agree that any information on this form that is deemed false will void this registration. A false signature can result in legal action.
MJP is dedicated to providing equal opportunity for all participants and hereby affirms its commitment that MJP will be free from discrimination on the basis of race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, gender identity, sexual orientation, or genetic information.  If you have any concerns or encounter any situation which is contrary to MJP’s equal opportunity commitments, please immediately contact Spencer Snyder at programs@vaymca.org
您回复的副本将通过电子邮件发送到您提供的地址。
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清除表单内容
切勿通过 Google 表单提交密码。
此内容不是由 Google 所创建,Google 不对其作任何担保。 举报滥用行为 - 服务条款 - 隐私权政策