2024 YOUth LEADership Registration
8TH Annual YOUth LEADership
EMPOWER U Summit & Expo!
La Costa Leadership Institute at NWF State College, Niceville, FL
Saturday, March 2, 2024, 9 am – 3 pm
(Reporting time on conference day will be 8 am)

Eligibility: 13 - 19 year old Students (public, private, parochial and/or home-schooled)

Registration Fee: FREE (Light Breakfast, lunch and conference materials)

Contact: David Triana (850) 368-3505 | united4agoodcause@gmail.com


THIS FORM MUST BE FILLED OUT BY A PARENT, TEACHER, COUNSELOR OR
ADULT ATTENDEE
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NAME *
SCHOOL *
GRADE *
EMAIL *
TELEPHONE # *
If student has any physical or medical conditions the organizers should be aware
of, please explain here:
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