MYM IMPACT JUNIOR 2024 - REGISTRATION & PAYMENT FORM

Please fill out this form, choose your payment amount and click submit (ONCE ONLY). You will get a confirmation email of your submission.

MYM Impact JR
June 14-17
Check in at Mayfair on June 14 - 3:45pm
Arrive back at Mayfair on June 17 - 11:00am

Questions/Problems? Contact Nancy at (256)682-8208 or nancy@mayfair.org.

Name

Student Email

This address will receive a confirmation email

Student Cell Phone

Grade (just completed)

Please select all that apply.

6 7 8

T-Shirt Size

Please select all that apply.

Small Medium Large XL 2XL 3XL

If you are visiting our MYM event with a friend, please list their name here:

You will be receiving a registration link for Impact 2024 when we receive it. This will need to be completed ASAP for your registration to be complete.

IMPACT JR - June 14-17

The cost of Impact Junior is $235 per person.
You may pay by PayPal (link is below) or you can choose the cash/check option and bring your payment to check-in. Checks should be made payable to Mayfair.

Picnic Supper before check-in at Lipscomb (choose one):

Please select one option.

Ham Sub with lettuce, tomato Turkey Sub with lettuce, tomato Ham Sub (meat/cheese only) Turkey Sub (meat/cheese only)

Choose Payment - Cost is $235

PayPal Cash/Check ($0)

Amount

MYM IMPACT JUNIOR 2024 - REGISTRATION & PAYMENT FORM

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