Required fields *
Email *
Salutation *
-choose-
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
International Address
International State, Providence or Region (if applicable)
Postal Code or Zip Code *
Country *
-none-
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
USA
UZBEKISTAN
VANUATU
VATICAN CITY
VENEZUELA
VIETNAM
WAKE ISLAND
WEST INDIES
WESTERN SAHARA
YEMEN
ZAIRE
ZAMBIA
ZIMBABWE
Summer 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
International Address
International State, Providence or Region (if applicable)
Postal Code or Zip Code *
Country *
-none-
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
USA
UZBEKISTAN
VANUATU
VATICAN CITY
VENEZUELA
VIETNAM
WAKE ISLAND
WEST INDIES
WESTERN SAHARA
YEMEN
ZAIRE
ZAMBIA
ZIMBABWE
Sex *
-choose-
Male
Female
Cell Phone *
Birthday *
-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-
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
College Name *
Anticipated Grad Date *
-choose-
2017 Fall
2017 Spring
2017 Summer
2017 Winter
2018 Fall
2018 Spring
2018 Summer
2018 Winter
Fall 2019
Spring 2019
Summer 2019
Winter 2019
Fall 2020
Spring 2020
Summer 2020
Winter 2020
Fall 2021
Spring 2021
Summer 2021
Winter 2021
Fall 2022
Spring 2022
Summer 2022
Winter 2022
Fall 2023
Spring 2023
Summer 2023
Winter 2023
Is this your first time attending a YAF event? *
-choose-
Yes
No
Please check the box if you are a YAF chapter member.
If intern, who are you interning for?
Special Food Needs
PART-TIME OPTIONS
Please select the boxes below for the sessions that you want to attend. Dinner banquets are $25.00 each.
Dinner banquets are only $25.00 .
You will be redirected to the payment page after the form is submitted.
MONDAY, July 25
6:00 p.m. - 6:30 p.m. Registration
6:45 p.m. - Doors Open
Cost $25.00
Dinner Banquet featuring OPEN
TUESDAY,July 26
9:00 a.m.
The Honorable Michael R. Pence
10:00 a.m.
Dr. Carl R. Trueman
Author and Professor, Grove City College
11:00 a.m.
Betsy DeVos
Author and 11th United States Secretary of Education
1:00 p.m.
OPEN
2:00 p.m.
Dr. Robbie George
Founder, Chairman, & CEO, Rivada Networks
3:00 p.m.
6:00 p.m. - 6:30 p.m. Registration
6:45 p.m. - Doors Open
Cost $25.00
Dinner Banquet featuring OPEN
WEDNESDAY, July 27
9:00 a.m.
OPEN
10:00 a.m.
Kirk Cameron
1:00 p.m.
Zuby
2:00 p.m.
Dr. Arthur B. Laffer
3:00 p.m.
Andrew Klavan
6:00 p.m. - 6:30 p.m. Registration
6:45 p.m. - Doors Open
Cost $25.00
Dinner Banquet featuring Mollie Hemingway
THURSDAY, July 28
9:00 a.m.
The Honorable Mike Gallagher
United States Representative, WI-8
10:00 a.m.
The Honorable Jason Miyares
11:00 a.m.
Eric Metaxas
1:30 p.m.
Dr. James Lindsay
2:30 p.m.
OPEN
3:30 p.m.
OPEN
6:00 p.m. - 6:30 p.m. Registration
6:45 p.m. - Doors Open
Cost $25.00
Dinner Banquet featuring OPEN
FRIDAY, July 29
9:00 a.m.
Dr. Burt Folsom
10:00 a.m.
OPEN
11:00 a.m.
OPEN
1:00 p.m.
The Honorable Chip Roy
United States Representative, TX-21
2:00 p.m.
Dr. Burt Folsom
3:00 p.m.
OPEN
6:00 p.m. - 6:30 p.m. Registration
6:45 p.m. - Doors Open
Cost $25.00
Dinner Banquet
featuring OPEN
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 one week of submitting my request to attend the part-time session(s).
b) Except in case of emergency, I must notify Young America’s Foundation at least 24 hours in advance of the session of my inability to attend.
c) I must attend all sessions that I signed up for. If I do not attend all functions (or notify Young America’s Foundation as discussed in (b)) I will be charged $75.00.
Do you agree to the above terms and conditions? *
-choose-
Yes
No
All required fields must be completed before this form will submit.