NATIONAL YOUTH LEADERSHIP CONFERENCE
ENTRY FORM

March 26-28, 2020

Location: Raleigh, North Carolina

Registration Deadline: Wednesday, Feb. 19, 2020

NEED TO KNOW:

  • LOCATION: Embassy Suites – Hampton Inn & Suites
    8001 & 8002 Arco Corporate Drive, Raleigh, NC 27617
  • Youth ages 14 to 21 are eligible to attend the National Youth Leadership Conference
  • All registrations are FINAL
  • Registration fee is $200 per person for BOTH youth participants and parent/guardian attendees
    • Hotel reservations are included in the registration fee
    • YOUTH ONLY pay via credit card online
  • Participants are responsible for hotel costs if arriving on Wednesday evening
  • Suggested airport: Raleigh-Durham International Airport, RDU
    • The NJSA is only responsible for boarding costs Thursday through Saturday.
    • If you will be arriving on Wednesday night then you are responsible for the hotel room for that evening.

HOWEVER, the NSR Staff will make sure that the room is booked ahead of time and will make a rooming list for those that are coming in on Wednesday to help lower the cost.
The NSR Staff will initially cover the cost and send an invoice after the date for the expense.

Submit ONE entry per participant/attendee

Participant Type:



Gender:



Method of Transportation:





* Denotes a Required Field

First Name * 
Last Name * 
Address * 
City * 
State * 
Zipcode *  
Email * 
Birthdate * 
T-Shirt * 
Phone # *  
Emergency Contact Name
Emergency Contact Phone
Youth Phone #




Special requests (example: food allergies):

Security Question

What color is the sky? (Please answer the question in lower case letters)

   

For more information, call or email Nicole at 765-463-3594 ext. 122.
nicole@nationalswine.com