2025 Middle School YIG Adult Registration
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
School
Please select role:
Please Select
Lead Advisor (teacher)
Advisor (teacher)
Administrator
Parent
Other
If you selected "Other" please describe your role with your delegation.
Have you completed a background check and screening with your school?
Please Select
Yes
No
If you have not had a background check the YMCA will send you a link to complete a background check. There is no cost to this background check.
Please Select
I consent.
I do not consent (if you select this option you will not be able to chaperone the conference.)
Submit
Should be Empty: