Form date: 07/01/2023

Membership Registration Form

If you have been convicted of felony crime against children or involving domestic violence, please go no further.

Change of Email Address:
Send an email containing your old email address and the new email address to: Webmaster@pgrny.org

Confirmation Process
Once you have completed this form, you will receive an email asking you to confirm your membership registration. Please be sure to check your Spam/Junk email folder for this confirmation request and follow the directions. Please add us to your safe list to receive future emails.

All data is kept confidential and will not be shared, sold or distributed.

Check Membership Alerts for Important Email Address Restrictions - summary below:

  • If you have Outlook.com, Hotmail.com, Live.com or MSN.com email accounts (domains owned by Microsoft) you must use a different email provider to receive our Mission emails.
  • If you have any type of ROADRUNNER (*rr.com), you must use a different email provider to receive our Mission emails. Spectrum/Charter Communications system will NOT forward our emails to those types of email addresses.
  • If you have any type of OPTIMUM (*optonline.net), you must use a different email provider to receive our Mission emails. Optimum will NOT forward our emails to those types of email addresses.

Our recommendations is to set up an email account with free email providers such as: Gmail, Yahoo, etc.
These email address restrictions are in place until further notice.

Please pick date from calendar for proper format.
Please provide 2-digit state abbreviation.
Please supply 5-digit zip code only.

Choose your Region based on the County you live in.

You MUST choose a Region and only one region. Please choose Region number that is associated with the county you live in. If you wish to receive Mission emails from other Regions, you will need to fill out a Membership form for each Region individually.

Dashes will automatically be added. Please enter your area code and number.

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