2017 October Reagan Ranch High School Conference

 
*Required fields

Email* (IMPORTANT: all communication
for this conference will be sent to this email address)

 
Salutation*
First Name*
Last Name*   
CURRENT MAILING ADDRESS
Street*   
City*   
State*
Zip*   
SUMMER ADDRESS
Street*
City*
State*
Zip*

Sex*

Home Phone*   
Cell Phone*   
Birthday*           
Are you a college or high school student?*
High School Name*
Anticipated High School Grad Date*
Parent Name*   
Parent Email Address*
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.*

  

Twitter:

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Terms and Conditions:

a) I understand that I am applying for a limited amount of space at this conference and that my application is subject to confirmation.  I will be notified within two weeks of submitting my application whether I have been accepted to the conference.  In the event I have not been accepted, my charge will be refunded by a check mailed to the address provided when I registered.   

b) I must attend all sessions of the High School Conference at the Reagan Ranch. If I do not attend all functions, I will be charged the full cost of the conference and/or event(s), including the hotel, food, and conference costs, which total $2,000 per attendee.   

c) Except in case of emergency, I must notify Young America’s Foundation by October 12, 2017 at 5:00 p.m. EST of my inability to attend, or I will be charged the supplemental fee since it is too late to give my spot to another student.

d) I understand that the conference fee is not refundable if I cancel my participation after October 12, 2017.  

e) 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.  

f) 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.  

h) I understand that YAF will be adding my email address to its email list for updates for this conference 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?*   

All required fields must be completed before this form will submit.

Upon form submission, you will be directed to the payment form.



 
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