The version of the browser you are using is no longer supported. Please upgrade to a supported browser.Dismiss

VAYD Convention Registration
Virginia Young Democrats will host their Annual Convention in partnership with the James Madison University Young Democrats, March 17-19, 2017, in Harrisonburg, VA. Please use this form to register yourself and/or Chapter for the convention. An email will be sent to you with instructions on how to pay for registration.

Registration: $15 (includes programming and materials, and lunch on Saturday)
Awards Banquet: $20

Chapter Contact:
If you are registering all attendees with your chapter list yourself as the chapter contact. Individuals should enter N/A.
Your answer
Chapter:
Your answer
Contact Email:
Your answer
Contact Phone:
Your answer
Convention Attendees:
Enter each attendee on their own line include name, email, and any special requirements (dietary, etc).
Your answer
Banquet Attendees:
Enter each banquet attendee on their own line. Include any special requirements (dietary, etc).
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Virginia Young Democrats. Report Abuse - Terms of Service - Additional Terms