Email Address*
Password*
Password (again)*
Family's Last Name*
1st Adult Member First Name*
2nd Adult Member First Name
1st Junior Member's Name
1st Junior Member's Age
2nd Junior Member's Name
2nd Junior Member's Age
3rd Junior Member's Name
3rd Junior Member's Age
4th Junior Member's Name
4th Junior Member's Age
Mailing Address*
Apartment Number
City*
State*
ZIP+4*
Phone (999) 999-9999*
Name and Phone listed in Club Roster?*




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After you click submit, because of the issue with the website a message will NOT be sent to the email you registered. You won't see it in a few minutes so you don't need to check your SPAM folder.  Send an email to "webmanager (at) agmc.info"  so we can finish processing your request.

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