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MJCCA Vehicle Decal


Please complete the form below with your vehicle information and visit the MJCCA Membership Office to pick up your new decal. You may also complete the form and pick up decals for family members on your account, as long as all information on the form has been correctly entered, including license plate number. Thank you so much for your help with this process.

Member Information

First Name*
Last Name*
Email*
Phone*

 

Vehicle Information

Vehicle 1

Driver Name*
Vehicle Make*
Vehicle Model*
License Plate*


Vehicle 2

Driver Name
Vehicle Make
Vehicle Model
License Plate


Vehicle 3

Driver Name
Vehicle Make
Vehicle Model
License Plate

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The MJCCA’s Inclusion Program strives to provide the necessary accommodations and flexibility for youth who require additional support so they may access the transformative opportunities available at the MJCCA. Our Inclusion Team collaborates with parents, educators, and staff to determine if successful program placement is possible. These youth and their families are then supported by our Inclusion Team through program accommodations and may also receive individualized assistance. Click here for more information.