Is this your first YAF conference?*
|
How did you hear about this conference?*
|
My requested roommate is:*
|
|
In a few words, please tell us why you would like to attend:*
|
|
Salutation:*
|
First Name: *
|
Last Name: *
|
Email: *
|
Cell Phone: *
|
Text Messages: *
I want to opt-in to receive text messages. |
Birthdate:*
|
Sex:*
|
|
Address
|
Street:*
|
City:*
|
State:*
|
Postal Code or Zip Code:*
|
International State, Providence or Region (if applicable)
|
Country:*
|
Summer Months Address
|
Select box (to left) ONLY If your address above is
your summer months address.
|
Street:*
|
City:*
|
State*
|
Postal Code or Zip Code:*
|
International State, Providence or Region (if applicable)
|
Country:*
|
|
EMERGENCY CONTACT INFORMATION |
Parent First Name: *
|
Parent Last Name: *
|
Parent Phone: *
|
Parent Email Address: *
|
|
I am a: *
|
School Name:*
| High School Graduation Date:*
|
Adult Men's T-Shirt Size
*
|
How did you first hear about Young America's Foundation?
*
|
Please elaborate on the previous question.
*For example, if you were referred to this program by a specific person or another attendee, list their name here. Or identify where you learned of YAF and/or this event.
|
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)
|
Twitter |
Facebook |
Instagram |