RIC Registration Form - 2018
This is the online RIC registration form for our 2018 Youth Leadership Summit in Millerton, NY (housing in Poughkeepsie). The summit will be from July 18-22nd 2018.

The Rooted in Community Youth Leadership Summit is a conference for high school aged youth. If you're not either in high school or working with high school students this is not the conference for you. All groups must have at least one adult ally and at least one high school aged youth to attend. This is a youth conference, not a professional development opportunity for adults.

In addition to this online form you will need to return signed medical and liability releases, photo releases, and code of conduct forms for everyone in your group to ric.summer.summit[at]gmail.com (forms can be found at rootedincommunity.org) and pay on our eventbrite page: https://www.eventbrite.com/e/ric-summer-youth-leadership-summit-2018-tickets-45149066072:

Name of Organization *
Your answer
Organization Address *
Your answer
Organization Phone Number *
Your answer
Contact Person *
Your answer
Contact Person's E-mail *
Your answer
Is your group willing to camp if necessary? *
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