NAYC Membership Application

You can apply for membership and pay securely on line with Paypal or Credit Card
by completing this two step process.

Step 1: Fill out and submit your application form

{"id":"13","label":"Membership Application","active":"1","original_id":"7","unique_id":"bjl17a","params":{"enableForMembership":"0","tpl":{"width":"80","width_measure":"%","bg_type_0":"color","bg_img_0":"","bg_color_0":"#ffffff","bg_type_1":"color","bg_img_1":"","bg_color_1":"#999999","bg_type_2":"color","bg_img_2":"","bg_color_2":"#3b4460","bg_type_3":"none","bg_img_3":"","bg_color_3":"#1e73be","field_error_invalid":"","form_sent_msg":"Thank you, please continue to step two and choose your payment option","form_sent_msg_color":"#3b4460","hide_on_submit":"1","redirect_on_submit":"","test_email":"fb@b--design.com","save_contacts":"1","exp_delim":";","fb_convert_base":"","field_wrapper":"<div [field_shell_classes] [field_shell_styles]>[field]<\/div>"},"fields":[{"bs_class_id":"12","name":"name_contact","label":"","placeholder":"Name\/Contact","value":"","value_preset":"","html":"text","mandatory":"1","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"0","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"title","label":"","placeholder":"Title","value":"","value_preset":"","html":"text","mandatory":"0","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"agency_program","label":"","placeholder":"Agency\/Program","value":"","value_preset":"","html":"text","mandatory":"0","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"address","label":"","placeholder":"Address","value":"","value_preset":"","html":"text","mandatory":"0","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"city","label":"","placeholder":"City","value":"","value_preset":"","html":"text","mandatory":"0","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"state","label":"","placeholder":"State","value":"","value_preset":"","html":"text","mandatory":"0","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"zip_code","label":"","placeholder":"Zip Code","value":"","value_preset":"","html":"text","mandatory":"0","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"subject","label":"","placeholder":"Phone Number","value":"","value_preset":"","html":"text","mandatory":"1","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"0","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"email","label":"","placeholder":"Email","value":"","value_preset":"","html":"email","mandatory":"1","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"0","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"membership","label":"Please check one","value":"","value_preset":"","html":"checkboxlist","mandatory":"1","label_delim":"","display":"col","add_classes":"","add_styles":"","add_attr":"","icon_class":"","icon_size":"","icon_color":"","terms":"","options":[{"name":"new_member_application","label":"- New Membership Application"},{"name":"membership_renewal","label":"- Membership Renewal"}]},{"bs_class_id":"12","name":"membership_options","label":"Please check one","value":"","value_preset":"","html":"checkboxlist","mandatory":"1","label_delim":"","display":"col","add_classes":"","add_styles":".optioncolor { color: #000000; }","add_attr":"","icon_class":"","icon_size":"","icon_color":"","terms":"","options":[{"name":"youth_teen_court_program","label":"- Youth\/Teen Court Program"},{"name":"individual","label":"- Individual"},{"name":"student_youth","label":"- Student\/Youth"}]},{"bs_class_id":"12","name":"message","label":"Please list name and email address for Youth\/Teen Court Program applicants","placeholder":"NOTE: Up to four affiliated persons eligible at this PROGRAM rate.","value":"","value_preset":"","html":"textarea","mandatory":"0","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"0","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"name_on_credit_card","label":"Name\/Agency Name on credit card (if different than member name on application)","placeholder":"","value":"","value_preset":"","html":"textarea","mandatory":"0","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"send","label":"Send","html":"submit","add_classes":"","add_styles":"","add_attr":""}],"opts_attrs":{"bg_number":"4"}},"img_preview":"light-grey.png","views":"1749","unique_views":"1329","actions":"46","sort_order":"7","is_pro":"0","ab_id":"0","date_created":"2016-05-03 08:01:03","img_preview_url":"https:\/\/youthcourt.net\r\n\/wp-content\/plugins\/contact-form-by-supsystic\/assets\/forms\/img\/preview\/light-grey.png","view_id":"13_123633","view_html_id":"cspFormShell_13_123633","connect_hash":"14ead9701db7d7f3793c3c53076877aa"}

 
 

Step 2: Select Your Membership Payment Option

 

YOUTH/TEEN COURT PROGRAM:

NOTE: Up to four affiliated persons eligible at this PROGRAM rate.

 

 




 

 




INDIVIDUAL:

 

 




 

 




 

STUDENT/YOUTH: