2018 Youth District Conference Registration
Thanks for registering for our 2018 Youth District Conference! We're thrilled to have you join us!

*If you're a Rotarian, and plan on camping with us, please only fill out questions 1-9. Thanks!

The formal youth conference goes from Friday afternoon, April 20 to Saturday afternoon, April 21. But we'll have activities for those arriving to Springdale on Thursday, April 19. Once you're registered, we'll send out more details on how to pay & what to expect.

What is your first name? *
Your answer
What is your last name? *
Your answer
What is your e-mail address? *
Your answer
What is your cell number? *
Your answer
How are you involved in Rotary? *
Required
Which school/Rotary-affiliated club are you part of? *
Your answer
Important! We need exact numbers to prepare for you-- especially for for camping. Click all that apply (and for Rotarians camping with us, only click the "overnight at Watchman" for the nights you'll be staying with us). *
Required
For those camping with us, we'll try to find ways for you to shower. Which days will you need one?
How are you planning to get to the conference?
What is your guardian's/parent's name (to contact in case of an emergency)?
Your answer
What is your guardian's/parent's cell number?
Your answer
What is your guardian's/parent's e-mail address?
Your answer
Any special dietary restrictions, allergies, or health conditions we should know about?
Your answer
Any health conditions we should know about?
Your answer
On Thursday night, we'll highlighting Rotarians like you at our Rotary's Got Talent event. Would you be willing to share your talents at dinner (singing, playing an instrument, dancing, etc.)? If yes, what is your talent?
Your answer
Any questions or concerns about the conference? Let us know!
Your answer
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