NYLT Youth Participant Application

NYLT Youth Participant Application
Youth First Name:
Youth Last Name:
Age as of January 18, 2025
Rank:
Current Position in Scouting:
Gender

MaleFemale
Unit Type

TroopCrew
Unit Number:
District:

RiverMountainPrairie
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Youth Email:
example@example.com
T-Shirt Size:

Adult SmallAdult MediumAdult LargeAdult XLAdult 2XL
Any dietary restrictions?
Parent/Guardian Full Name:
Parent/Guardian Phone:
Please enter a valid phone number.
Parent/Guardian Email:
Youth Acknowledgement:

On my honor as a Scout, I will faithfully live and abide by the Scout Oath and Law while I attend NYLT. I further promise to represent my Unit with honor and promise to pass along my new skills and knowledge to the members of my Unit upon completion of the course. I will follow the NYLT Uniform policy. I understand that I must attend all sessions for the entire duration, arriving on time and remaining until dismissed at the end of each weekend to be considered NYLT trained. I understand I can be sent home if I do not follow these policies.

I have my Unit Leader's approval to participate in this course.
Payment Method:

Bill to the UnitOnline Payment

My Products

NYLT Youth Registration*Fee increases to $275 after November 30th.

$250.00 Quantity

Total

$0.00

Credit Card

Apple Pay

Google Pay

Cash App Pay