2019 National High School Leadership Conference

Required fields *
Email *
Salutation *
First Name *
Last Name *
Street *
City *
State *
Zip Code *
Street *
City *
State *
Zip Code *
Sex *
Home Phone *
Cell Phone *
Birthdate *           

High School Name *

Anticipated Grad Date *
Parent Name *
Parent Email *
Emergency Contact Name *
Emergency Phone *
Is this your first YAF conference? *
Please check box if you are 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. *



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 immediately. 
b) I must attend all sessions of the National High School Leadership Conference. 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 June 10, 2019 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 June 10, 2019.
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 the National 4-H Youth Conference Center, and to obey all laws.  I agree to notify Young America’s Foundation’s staff immediately if a problem arises during the conference.
g) Young America's Foundation uses real photos, videos, and quotes from our students for promotional purposes and to advance our 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.