The National Youth Rights Association depends on successful local chapters to lead the way on the local level. The work that our chapters do is essential for spreading our message across the country.

Please fill out this form with your intent to start a NYRA Chapter and a member of our Chapter Support Team will contact you shortly. You will need to submit the contact information for at least three people in order to become an official chapter, but feel free to contact us if you have questions by filling out this form.

Contact Information

Person #1

First Name*

Last Name*

E-Mail Address*

Facebook Profile

Phone Number*

Person #2

First Name*

Last Name*

E-Mail Address*

Facebook Profile

Phone Number*

Person #3

First Name*

Last Name*

E-Mail Address*

Facebook Profile

Phone Number*

Chapter Details

Proposed Chapter Name* (e.g. NYRA-Washington County or NYRA-Valley High School)

City*

State*

What issues would you like your chapter to work on?*

Any other comments regarding your intent to form a Chapter.