2025 SC YMCA Youth in Government Middle School Model Legislature Registration Form

Welcome to SC YMCA Youth in Government!

The fall conference dates are Sunday, November 16 through Tuesday, November 18, 2025.

Please complete this form and select your intended role. for the conference. We expect roles to fill up, so your registration date and intended role will be used to assign spots.

Our Commitment to Inclusion: The Y is made up of people of all ages and from every walk of life working side by side to strengthen communities. Together we work to ensure that everyone, regardless of ability, age, faith, cultural background, ethnicity, gender, income, national origin, race or sexual orientation has the opportunity to reach their full potential with dignity. Our core values are caring, honesty, respect and responsibility—they guide everything we do.
2025 SC YMCA Youth in Government Middle School Model Legislature Registration Form
School*
If your school is not listed contact, please email kell.runnion@ymcagreenville.org
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Student E-mail*

Confirmation Email
Student Phone Number
Grade*
Gender
Race/Ethnicity (optional)
This is my _______ year at the Middle School Model Legislature conference.*
YIG Advisor/Sponsor Name
Advisor Email
Expected Role at this year's conference:
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Phone Number*

Area CodePhone Number
Parent/Guardian E-mail*

Confirmation Email
Parent/Guardian Place of Employment
Second Parent/Guardian Name

First NameLast Name
Second Parent/Guardian Phone Number

Area CodePhone Number
Do you have any allergies or health conditions we should be aware of?
T-shirt size
Should be Empty: