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2024 NY Middle School YAG Registration

This form is to register for the 2024 Middle School Youth and Government Youth Assembly State Conference. The conference will be held November 24-26, 2024. Any questions, please contact LeAsia Royall at lroyall@ymcanys.org or Drew Caldwell at dcaldwell@ymcanys.org Registration is due October 30, 2024

Exactly as you wish it to be printed on all printed materials such as nametag and billbook
Exactly as you wish it to be printed on all printed materials such as nametag and billbook
If your preferred name is different from your first name, please indicate below
School or Y
Current Grade
Shirt Size *All Adult Sizes*
How many years have you previously attended YAG? *Not including this year*
Conference Role
Legislative Bill Sponsor = Presenting a bill on the floor Legislative Delegate = Not presenting bill, Debater Only
Please make sure it is spelled correctly, as this will be the way you receive communication about the program. Please do not use a school based email, as most have filters and often filter out our emails.
Please Indicate is a Specific Meal Type is Requests, Select Any that Apply
I agree, and it is my intent to sign the record/document by typing my name in answer to this question and by electronically submitting this record/document to New York State Youth and Government. I understand that my signing and submitting this record/document in this fashion is the legal equivalent of having place my handwritten signature on the submitted record/document and this affirmation. I agree to all the terms and conditions specified and agreeing to all conditions outlined in the documents linked below. https://drive.google.com/file/d/1WZ02OJKguKGqhAfIIL_47vHjcKzaeTaD/view?usp=sharing (Photo Release) https://drive.google.com/file/d/1d5W5qQgUInsuklpmfmNiiH109rLiDOH1/view?usp=sharing (Treatment Relase) https://drive.google.com/file/d/1C2GgKdE7LSqvgj8JDykU8ukFdidHdDHH/view?usp=sharing (Code of Conduct)
I agree, and it is my intent to sign the record/document by typing my name in answer to this question and by electronically submitting this record/document to New York State Youth and Government. I understand that my signing and submitting this record/document in this fashion is the legal equivalent of having place my handwritten signature on the submitted record/document and this affirmation. I agree to all the terms and conditions specified and agreeing to all conditions outlined outlined in the documents linked below. https://drive.google.com/file/d/1WZ02OJKguKGqhAfIIL_47vHjcKzaeTaD/view?usp=sharing (Photo Release) https://drive.google.com/file/d/1C2GgKdE7LSqvgj8JDykU8ukFdidHdDHH/view?usp=sharing (Code of Conduct)

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