2022 Youth Leadership Conference Student Interest Form

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Thank you for your interest in the 2022 Youth Leadership Conference. Please complete the interest form below if you would like to receive more information about next year's conference. We will contact you as soon as we have more exciting details to share about 2022 YLC!

If you have any questions in the meantime, feel free to reach out to us at registrar@ylc.net and we will respond to your email at our earliest convenience.

DISCLAIMER: This is only an interest form. By completing this form you are not automatically registered for 2022 Youth Leadership Conference. We will send you an email with the registration form once 2022 YLC Registration is open.

We will only use your email to notify you of important updates regarding 2022 Youth Leadership Conference. We will never use your email for spam.

Email *

First Name *

Last Name *

Gender *

Male

Female

Other:

High School *

Grade Level *

What grade are you attending in Fall 2021?

College Freshman

Other:

How many YLC conferences have you attended (not counting this year)? *

How did you hear about YLC? *

Select all that apply.

Previous YLC students and/or parents

Referral from school or organization (i.e. CACA, OCA, etc.)

Facebook

Instagram

Web-based search (i.e. Google, etc.)

Through our sponsor Phillips 66

Other:

Required

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