2017 Great Beginnings Seminar Application

* Required fields
Email *  
Salutation *
First Name *
Last Name *   
Street *   
City *   
State *
Zip *   
Street *
City *
State *
Zip *

Sex *

Home Phone *   
Cell Phone *   
Birthday *           
Are you a college or high school student? *
College Name *
Anticipated Grad Date *
Parent Name *   
Emergency Contact Name *   
Emergency Phone *   
Is this your first YAF conference? *
Are you a YAF chapter member? *

My requested roommate * (if you have no preference, please indicate with n/a)


Special Needs/Food Allergies* (if you have no special needs, please indicate with n/a)

Adult Men's T-Shirt Size *
How did you first hear about Young America's Foundation? *

Please elaborate on the previous question*(For example, enter your grandparents name if you heard about YAF from them, enter the magazine title if you saw our ad in the magazine, enter the event name if you heard about us at an event, or describe how you heard about YAF if you selected other.

Do you have a relative who is or has been involved with Young America's Foundation as a student or as a supporter? *

(if yes, please enter their name(s), if no, please indicate with n/a)


Do you have a family member involved with the Conservative Movement, public policy, or public office? *

(if yes, please enter their name(s), if no, please indicate with n/a)

List any campus or community groups that you are a member of. * (if none, please enter none)


How did you hear about this conference? *

In a few sentences, please tell us why you would like to attend this conference.*




Terms and Conditions

 a) I understand that I am applying for a limited amount of space at this seminar and that my application is subject to confirmation.  I will be notified within one week of submitting my application whether I have been accepted to the seminar. 
b) I must attend all sessions of the Great Beginnings Seminar. If I do not attend all functions, I will be charged the full cost of the seminar, including the hotel, food, and seminar costs, which total $1,700 per attendee.  
c) Except in case of emergency, I must notify Young America’s Foundation by September 1, 2017 at 5:00 p.m. EST of my inability to attend.
d) I understand I will be assigned roommates for the conference. I may request preferred roommates of the same sex, but there is a chance I may not be able to room with them. 
e) I agree to abide by all rules and instructions of Young America’s Foundation and to obey all laws.  I agree to notify Young America’s Foundation’s staff immediately if a problem arises during the conference.
f) I understand that YAF will be adding my email address to its email list for updates for this seminar and notifications of future events.
g) Young America's Foundation uses real photos, videos, and quotes from students for promotional purposes and to advance its mission. By attending this program, I consent to the use of my photo, written evaluation statements, and video in any Young America's Foundation materials.

Do you agree to the above terms and conditions?*   

Please submit only once. Upon form submission, you will be directed to the payment form.