2016 Annual Conference - Mission Dinner

Help us celebrate the 12th Anniversary of Youth Ambassadors in Mission!

This meal is scheduled for the Multipurpose Room in the Student Center at Hofstra University on Friday, June 10th at 5pm. Payment by credit/debit card is required to register. We accept VISA, MasterCard, American Express or Discover through PayPal (no account required). If you are attending the full session of Annual Conference, you can register for this meal during that registration process. See more information here: www.nyac.com/ac.

Contact Person for this Registration
*First Name
*Last Name
Address 1
City
State
Zip
Phone
*Email
YAM Alumni

If you served on a Youth Ambassadors in Mission trip in the past, we invite you to register without charge. Please indicate how may YAMs you are registering for and list their names below. Please use numbers, not words.

Only number values are allowed
Please indicate how many Adults you are registering to attend this dinner ($25)

Please use numbers, not words.

Only number values are allowed
Please indicate how many Youth (18 or younger) you are registering to attend this dinner ($10)

Please use numbers, not words.

Only number values are allowed
*Names of attendees
*Hofstra/Conference Rules/Release

As part of our contract with Hofstra University, there are rules and regulations that we must relay to you. Also included is a photo/video release form that you are agreeing to by registering for annual conference. Please click here to view these rules/release. Check the box above to acknowledge that you have read and agree to these rules/release.

The total due for your dinner registration appears in the lower right corner of the screen. Payment is accepted by VISA, MasterCard, American Express or Discover through PayPal (no account required) by clicking on the "Pay Now" button that will appear after you click the "Submit" button below. Your registration is not confirmed until you pay with your credit/debit card. Thank you!

We'll see you at the Student Center, Multipurpose Room, Hofstra University on Friay, June 10th at 5pm. For directions to Hofstra, click here>>

Please click the box below - this feature helps prevent "spider bots" from submitting fake registration forms. Thank you!


Your browser is not supported or has JavaScript turned off. To register use a different browser or turn on JavaScript.