Register Online

Online Registration

 


Completion of this online registration form is required to attend the conference.

We look forward to seeing you in Harrisburg on April 13, 2018! The conference fee must be paid in order to confirm your registration. You will be directed to do so securely online when you successfully complete the form below.

Early-Bird Registration  (January 16, 2018 – February 20, 2018): $30

Regular Registration  (Februrary 21, 2018 – EXTENDED UNTIL APRIL 9, 2018!): $35

Late + Onsite Registration  (After April 9, 2018): $40

Please note that the conference registration fee is non-refundable.

The YAC is a space dedicated for young Pennsylvanians who are teens and twentysomethings. There are no conference tracks for adults or service providers.

For all attendees under 18 years old: the YAC 2018 permission form must be signed by a parent/guardian and brought to the registration table in order to attend the conference.

If you have questions about registration, email us at info@payouthcongress.org.


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Youth Action Conference Registration Form
NamePlease use your name which will be used for registration and conference materials
School
OrganizationName of affiliated community or student organization if applicable
Class Year
Date of Birth
Phone Number
PronounsWe ask here for pre-conference communications. Pronoun identifiers will be made available at registration.
Other Pronouns
Dietary Restrictions + AllergiesPlease note here your dietary needs
Other Dietary RestrictionsAdditional dietary information
How did you hear about the YAC?
Other
Media Release
Submit Registration Form (Part I)
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