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

If you need a change of email address, please email the County or Region you are subscribed, your old email address and new email address to: This email address is being protected from spambots. You need JavaScript enabled to view it.

Patriot Guard National

Don't forget to "register" at patriotguard.org the national PGR website.  That will gain you access to the forums and to the PGR Store for any PGR gear you may want.

Registration with PGRNY

By filling out this form, you will be subscribed to the PGRNY Mission email list for your Region which encompasses your County.

Thank you for your interest and joining the Patriot Guard Riders New York!

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

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. Also, please add us to your safe list to receive future emails.

Choose date from calendar
Please use 2 digit state abbreviation.

Choose your Region based on the County you live in.

New York State Regions

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.

Input phone number formatted as numbers only. Do not input dashes.
Email addresses must match.

Please note:

By submitting this form, you agree to receive e-mail updates about PGRNY events in your area. After submitting this form, you will receive an e-mail from our mail server with the subject: "confirm".

Check your spam folder for this message if you do not see it in your inbox.

You must follow the directions in that e-mail to confirm your subscription to be added to the mailing list for your region.

If you have difficulty subscribing, you may e-mail This email address is being protected from spambots. You need JavaScript enabled to view it.

Please do not use this form to change your email or suspend email mission notifications. Please contact This email address is being protected from spambots. You need JavaScript enabled to view it.

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