Youth Conference Chaperone Sign Up Form

National Youth Conference - Chaperone Sign Up Form

Please fill out the form carefully for registration. YIA will be in contact with you with additional information. Chaperones must be 25 or older. The commitment is Saturday, July 11 through Friday, July 17, 2026. Chaperones reduced fees are determined based your level of participation.
Your Name *

First NameLast Name
Your E-mail*
Your Phone Number*

Area CodePhone Number
Your Age (must be 21 or over)
Date of Birth (Ex: 01/01/1990)*
T-shirt size (Ex: Adult Medium or Adult 3XL)*
Areas of Interest (Please select all the areas you are interested in assisting or leading. This will involve meeting with the youth participants to help prepare them for competition).

Bible BowlSpelling BeeSpeech CompetitionArt CompetitionSports (Basketball, Volleyball, Track)Scholarship
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National Youth Conference - Chaperone Sign Up Form