P.O. Box 16451, Hattiesburg, MS 39404-6451 or 629 North Main Street, Hattiesburg, MS 39401
601-582-3361
info@aboutmrpa.org

Please fill out the form below to start the process of becoming a member of the Mississippi Recreation and Parks Association.

STEP 1: PERSONAL INFORMATION
First Name * required
Last Name * required
Email * required
Phone * required
Address 1 * required
Address 2
City * required
State * required
Zipcode * required
Birth Date (MM-DD-YYYY)
STEP 2: ACCOUNT INFORMATION
Choose a Membership Level * required
Username * required
Enter Password (leave blank to auto-generate)
Verify Password:
Name of Organization: * required
Enter number of Pro Members:
Additional Pro Members:
Enter number of Citizen Board Members:
STEP 3: SUBMIT FORM
Submit your information