Nominate a New Jaycee
The Brainerd Jaycees are committed to empowering leaders by providing professional and leadership development opportunities.

Share who you believe can benefit from the value of being a member of the Brainerd Jaycees by completing and submitting the nomination form below.
First Name
Your answer
Last Name
Your answer
Date of Birth
Must be 18-40 years of age to be eligible for membership.
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Phone
Your answer
Email
Your answer
Referred by
The first and last name of the person submitting this response.
Your answer
Submit
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