* Required fields
Is this your first YAF conference? *
-choose-
Yes
No
How did you hear about this conference? *
-choose-
Parent
Grandparent
Sibling
YAF Email
Other relative
Teacher
Adviser
Friend
YAF Alumni
Club
National Review Podcast
National Review Magazine
FOCUS
Washington Examiner
American Rifleman (NRA)
America's First Freedom (NRA)
National Rifle Association
Magazine Ad
Facebook Ad
Facebook
Twitter
Website
Youtube
Instagram
TikTok
Web search
Other
In a few sentences, please tell us why you would like to attend this
conference. *
My requested roommate * (if you have no preference, please indicate with n/a)
Do you have any special needs? *
Salutation: *
-none-
Miss
Mr.
Ms.
First Name: *
Last Name: *
Current Mailing Address
Street: *
City: *
State *
-choose-
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
ption value="WY">WY
Northern Mariana Islands
Guam
Marshall Islands
Federated States of Micronesia
International Address
International State, Providence or Region (if applicable)
Postal Code or Zip Code *
Country *
USA
ABU DHABI
ADEN
AFGHANISTAN
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANTARCTICA
ANTIGUA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOSNIA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH ANTARCTICA TERRITORY
BRITISH INDIAN OCEAN TERRITORY
BRITISH VIRGIN ISLANDS
BRITISH WEST INDIES
BRUNEI
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CANAL ZONE
CANARY ISLAND
CAPE VERDI ISLANDS
CAYMAN ISLANDS
CEVLON
CHAD
CHANNEL ISLAND UK
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLAND
COLOMBIA
COMORO ISLANDS
CONGO
CONGO KINSHASA
COOK ISLANDS
COSTA RICA
CROATIA
CUBA
CURACAO
CYPRUS
CZECH REPUBLIC
DAHOMEY
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
DUBAI
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ESTONIA
ETHIOPIA
FAEROE ISLANDS
FALKLAND ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GUADELOUPE
GUAM
GUATEMALA
GUINEA
GUYANA
HAITI
HONDURAS
HONG KONG
HUNGARY
ICELAND
IFNI
INDIA
INDONESIA
IRAN
IRAQ
IRELAND
ISRAEL
ITALY
IVORY COAST
JAMAICA
JAPAN
JORDAN
KAZAKHSTAN
KENYA
KOREA
KOREA, SOUTH
KUWAIT
KYRGYZSTAN
LAOS
LATVIA
LEBANON
LEEWARD ISLANDS
LESOTHO
LIBYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAO
MACEDONIA
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARTINIQUE
MAURITANIA
MAURITIUS
MELANESIA
MEXICO
MOLDOVIA
MONACO
MONGOLIA
MOROCCO
MOZAMBIQUE
MYANAMAR
NAMIBIA
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NETHERLANDS ANTILLES NEUTRAL ZONE
NEW CALADONIA
NEW HEBRIDES
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NORFOLK ISLAND
NORWAY
OMAN
OTHER
PACIFIC ISLAND
PAKISTAN
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
POLAND
PORTUGAL
PORTUGUESE TIMOR
PUERTO RICO
QATAR
REPUBLIC OF BELARUS
REPUBLIC OF SOUTH AFRICA
REUNION
ROMANIA
RUSSIA
RWANDA
RYUKYU ISLANDS
SABAH
SAN MARINO
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SLOVAKIA
SLOVENIA
SOMALILIAND
SOUTH AFRICA
SOUTH YEMEN
SPAIN
SPANISH SAHARA
SRI LANKA
ST. KITTS AND NEVIS
ST. LUCIA
SUDAN
SURINAM
SW AFRICA
SWAZILAND
SWEDEN
SWITZERLAND
SYRIA
TAIWAN
TAJIKISTAN
TANZANIA
THAILAND
TONGA
TRINIDAD
TUNISIA
TURKEY
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
UPPER VOLTA
URUGUAY
US PACIFIC ISLAND
US VIRGIN ISLANDS
UZBEKISTAN
VANUATU
VATICAN CITY
VENEZUELA
VIETNAM
WAKE ISLAND
WEST INDIES
WESTERN SAHARA
YEMEN
ZAIRE
ZAMBIA
ZIMBABWE
Home Address
Select box (to left) ONLY IF your mailing address above is your home address
Street: *
City: *
State *
-choose-
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Northern Mariana Islands
Guam
Marshall Islands
Federated States of Micronesia
International Address
International State, Providence or Region (if applicable)
Postal Code or Zip Code *
Country *
USA
ABU DHABI
ADEN
AFGHANISTAN
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANTARCTICA
ANTIGUA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOSNIA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH ANTARCTICA TERRITORY
BRITISH INDIAN OCEAN TERRITORY
BRITISH VIRGIN ISLANDS
BRITISH WEST INDIES
BRUNEI
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CANAL ZONE
CANARY ISLAND
CAPE VERDI ISLANDS
CAYMAN ISLANDS
CEVLON
CHAD
CHANNEL ISLAND UK
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLAND
COLOMBIA
COMORO ISLANDS
CONGO
CONGO KINSHASA
COOK ISLANDS
COSTA RICA
CROATIA
CUBA
CURACAO
CYPRUS
CZECH REPUBLIC
DAHOMEY
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
DUBAI
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ESTONIA
ETHIOPIA
FAEROE ISLANDS
FALKLAND ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GUADELOUPE
GUAM
GUATEMALA
GUINEA
GUYANA
HAITI
HONDURAS
HONG KONG
HUNGARY
ICELAND
IFNI
INDIA
INDONESIA
IRAN
IRAQ
IRELAND
ISRAEL
ITALY
IVORY COAST
JAMAICA
JAPAN
JORDAN
KAZAKHSTAN
KENYA
KOREA
KOREA, SOUTH
KUWAIT
KYRGYZSTAN
LAOS
LATVIA
LEBANON
LEEWARD ISLANDS
LESOTHO
LIBYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAO
MACEDONIA
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARTINIQUE
MAURITANIA
MAURITIUS
MELANESIA
MEXICO
MOLDOVIA
MONACO
MONGOLIA
MOROCCO
MOZAMBIQUE
MYANAMAR
NAMIBIA
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NETHERLANDS ANTILLES NEUTRAL ZONE
NEW CALADONIA
NEW HEBRIDES
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NORFOLK ISLAND
NORWAY
OMAN
OTHER
PACIFIC ISLAND
PAKISTAN
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
POLAND
PORTUGAL
PORTUGUESE TIMOR
PUERTO RICO
QATAR
REPUBLIC OF BELARUS
REPUBLIC OF SOUTH AFRICA
REUNION
ROMANIA
RUSSIA
RWANDA
RYUKYU ISLANDS
SABAH
SAN MARINO
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SLOVAKIA
SLOVENIA
SOMALILIAND
SOUTH AFRICA
SOUTH YEMEN
SPAIN
SPANISH SAHARA
SRI LANKA
ST. KITTS AND NEVIS
ST. LUCIA
SUDAN
SURINAM
SW AFRICA
SWAZILAND
SWEDEN
SWITZERLAND
SYRIA
TAIWAN
TAJIKISTAN
TANZANIA
THAILAND
TONGA
TRINIDAD
TUNISIA
TURKEY
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
UPPER VOLTA
URUGUAY
US PACIFIC ISLAND
US VIRGIN ISLANDS
UZBEKISTAN
VANUATU
VATICAN CITY
VENEZUELA
VIETNAM
WAKE ISLAND
WEST INDIES
WESTERN SAHARA
YEMEN
ZAIRE
ZAMBIA
ZIMBABWE
Sex: *
-choose-
Male
Female
Cell Phone: *
Birthdate *
-month-
01
02
03
04
05
06
07
08
09
10
11
12
-day-
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
-year-
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
Parent Name *
(first & last name)
Parent Email
*
Parent Phone Number *
ex. 000-111-2222
I am a: *
High School Student
High School Name *
High School Graduation Date: *
-choose-
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
Adult Men's T-Shirt Size *
-select-
Small
Medium
Large
XLarge
XXLarge
How did you first hear about Young America's Foundation? *
-choose-
Parent
Grandparent
Sibling
Other relative
Teacher
Adviser
Friend
Club
Magazine ad
Facebook ad
Twitter
Website
Web search
Other
Please elaborate on the previous question * (For example, enter your grandparent's 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 or public policy? * (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)
Twitter
Facebook
Instagram
I am registering for myself, or on behalf of my minor child or ward (hereafter “child”), to attend a Young America’s Foundation’s (YAF) private event. I understand and agree that, as an express condition of participation and/or attendance in YAF’s event, I intend to be legally bound and will abide by the following terms & conditions .
A. Terms of Registration. All attendees must register themselves or their child and any guests they may be registering for using the real and true name for all parties and may be asked to present valid identifi cation to verify the identity of the registrant and their guests. I understand and acknowledge that any actions intended to disrupt or undermine this YAF event will result in my or my child’s immediate ejection from the event. Disruptive activity includes, without limitation and in YAF’s sole determination, posting or sending inappropriate words, statements, or images, through social media or by and between event attendees. YAF reserves the right to pursue all appropriate civil & criminal remedies against disruptive attendees. Attendees removed for disruptive activity forfeit any registration fees and will be required to reimburse YAF at applicable actual costs of their attendance within ten (10) business
days.
B. Acceptance & Attendance .
a. I understand that this event may have a limited amount of space and that my application may be subject to confirmation. I understand that all applications submitted prior to April 3, 2023 will receive a response on April 3, 2023 regarding acceptance. Applicants that apply after April 3, 2023 will receive notice within two (2) weeks of their application submission. I understand that in the event I have not been accepted I will be refunded via my original payment method.
b. Participation in this YAF event is made possible through the generous financial support of YAF’s supporters nationwide. As such, I or my child agree to attend all sessions of the 2023 June High School Conference at the Reagan Ranch . I understand that if I or my child fail to attend the entirety of YAF’s event without good cause, I agree to refund YAF the actual cost of attendance for the event, including hotel, food, transportation, and other costs incurred.
c. Acceptance and participation in this YAF event include reviewing and understanding the terms and conditions of YAF’s Responsibility Pledge, the terms of which are incorporated by reference. I understand that violation of the Responsibility Pledge may result in my removal or the removal of my child from the event, forfeiture of registration fees, and applicable reimbursement due to YAF.
C. Cancellation .
Except in case of emergency, if accepted to attend YAF’s event, I must notify YAF by May 31, 2023, of my or my child’s inability to attend or I may be charged $2,500 since it is too late to give my reserved space to another participant. I understand that the conference fee is not refundable if I cancel my participation after May 31, 2023.
D. Policy Focused Event . YAF’s event is intended solely for the promotion of conservative ideas, in accordance with YAF’s tax exempt mission. No political activity, as defined by the Internal Revenue Service, is permitted at YAF’s event. No candidate stickers, pins, t-shirts, or other materials may be worn, displayed, or otherwise visible by members of the audience. I understand that attendees will not promote any other groups or organizations without express written permission from YAF.
E. Roommates & Lodging . If applicable, I understand that I or my child may be assigned roommates for the conference. A preferred roommate of the same sex may be requested, but YAF is not obligated to honor that request. I agree to notify YAF staff immediately if a problem with a roommate arises during the event. I or my child further agree to abide by all applicable hotel rules, as well as any rules or instructions from YAF staff as deemed necessary, in YAF’s sole determination, during any overnight event stay.
F. Consideration . In consideration for participation in this event or program, the receipt and sufficiency of which consideration is acknowledged, I agree to release and forever discharge YAF, its officers, employees, and assigns from all manner of actions, legal causes of action, claims and demands for or by reason of any damage, loss, or injury to person and property which has been or may be sustained as a result of my own or my child’s participation in this event or program.
G. Liability Release . I am fully aware that there are risks, foreseeable and unforeseeable, related to me or my child or ward attending this event or program, ranging from normal risks associated with any stay away from home, such as physical injury from a slip and fall or accident, food poisoning or allergic reactions, loss or damage to personal property, fires, disasters, terrorism or other incidents of violence, contraction of illness such as the flu, COVID-19, or legionnaire’s disease, which could result in a serious medical condition requiring treatment in a hospital or could possibly lead to death. For my own benefit or on behalf of my child or ward, our heirs, successors, and assigns, I knowingly and freely assume all such risks, both known and unknown, relating to participation in this event or program and I hereby forever release, waive, relinquish, and discharge YAF, its officers, employees, and assigns from any and all claims, demands, liabilities, rights, damages, expenses, and causes of action of whatever kind or nature, and other losses of any kind, whether known or unknown, foreseen or unforeseen, and I further promise not to sue YAF for any personal injury, disability, property damage or theft, or death which may result from participation in this program. These terms and conditions shall be construed under Tennessee law and should be interpreted by any court of competent jurisdiction to provide a release and waiver to the maximum extent permissible.
H. Assumption of Risk . I assume all risks and hazards incidental to participation in the above mentioned function, including transportation to and from such activities, and do hereby release and waive all claims against YAF, its directors, officers, staff, employees, volunteers, representatives, agents, and speakers whether they be foreseen or unforeseen at the time this waiver is signed. I UNDERSTAND THAT IT IS MY SOLE RESPONSIBILITY TO AVOID EXPOSING MYSELF OR MY CHILD TO FOODS THAT WE MAY BE ALLERGIC TO AND TO TAKE ALL NECESSARY PRECAUTIONS RELATING TO POTENTIAL ALLERGIES, INCLUDING HAVING ANY MEDICATION SUCH AS AN EPINEPHRINE PEN (“EPIPEN”) ON MY OR MY CHILD’S PERSON AT ALL TIMES AND NOTIFYING YOUNG AMERICA’S FOUNDATION STAFF OF CONCERNS. I understand that YAF makes no promises or guarantees that an accommodation will be made for my or my child’s allergy, even after notifying YAF of said allergy. As such, I recognize that if I or my child consumes food or beverage at a YAF event, I assume the risk.
I. Emergency Medical Treatment Consent/ Property Damage . I grant permission for emergency medical treatment to be performed upon me or my child in case of sickness or injury and have indicated any special medical needs or allergies in the space provided below. All expenses incident to hospital care shall be my responsibility. I also accept responsibility for any property damage to the program facilities that I or my child may cause.
J. Consent and Release for Use of Likeness . YAF uses real photos, videos, and quotes from students for promotional purposes. By attending this YAF event on your own behalf or on behalf of your child, you irrevocably consent and authorize YAF and its affiliates, employees, related companies, and contractors, to record, film, photograph, broadcast, or otherwise capture during the event and related events your likeness, image, voice, or any other indicia of identity in any media whatsoever and to distribute, use, broadcast, or disseminate into perpetuity such media for any purpose whatsoever without any further approval from you or any compensation of any kind to you. The images in all media will constitute YAF’s sole property, and YAF will have the right to use your likeness, image, voice, or other indicia of identity, including, but not limited to, the right to produce, publicly perform, transmit, exhibit, publicly display, print, reproduce, televise, broadcast, transfer, modify, distribute, create derivative works of, and otherwise use for any lawful purpose, in whole or in part, in any location throughout the world through any means or medium or format without limitation, any Subject Matter, all without prior inspection or further consent or approval by the undersigned of the finished product(s) or of such use, together with irrevocable, perpetual, worldwide and royalty-free rights, title and interest in and to any and all results and proceeds from any such use.
K. Exclusive Broadcast Rights .
You further agree that you will not record, reproduce, or transmit from the place of performance, in any manner or by any means whatsoever, any portion of, or the entirety of, any YAF event in the absence of the specific written permission of YAF. YAF retains the exclusive copyright to all materials that may be distributed at the event, unless otherwise noted, and all video or audio recordings of all YAF events.
L. Data Usage : *
By sharing your information with YAF, you agree that we may use your information to contact you about this event and other activities, such as educational materials or opportunities to attend future events, as disclosed to you at the point of collection, or in any other manner that advances our educational purposes. This includes, without limitation, adding your e-mail address to receive YAF emails and receipt of telephone calls and text messages to your cell phone. You affirm that the cell phone number provided at registration is your own or that of your minor child, and that YAF may call and/or send text messages to this phone number to provide information regarding your application or registration for this event, as well as future YAF events and programming. You understand that message and data rates may apply to any such messages. We may share or transfer your information with our affiliates and any other organizations or entities for similar purposes.
M. Severability . If any provision of this waiver is held to be invalid or unenforceable that provision will be eliminated or limited to the minimum extent possible, and the remainder of the waiver will have full force and effect.
N. Understanding and Acceptance . By including my name on this form and allowing my child to participate in this Program, I confirm that I understand and have had a full opportunity to review these terms and conditions. I have had the opportunity to have these terms and conditions reviewed by a legal counsel of my choosing. In the event of any dispute between the Parties regarding any ambiguity or inconsistency in this terms and conditions, the adjudicating body will use a neutral construction not favouring either Party. I understand and agree that these terms and conditions constitute the full entire agreement between myself and YAF and supersede any prior oral or written understanding or agreement. No modifications, alterations, or amendments may be made to the terms and conditions unless done in writing and agreed to by both parties. I accept these terms freely, I declare my intention to bound by the terms, and I acknowledge it shall be construed broadly to provide a full release and waiver to the maximum extent permissible under applicable law.
Do you agree to the terms and conditions? *
-choose one-
Yes
No
All required fields must be completed before this form will submit.