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2026 Summit Registration

Home > 2026 Summit Registration

2026 Summit Registration

When you submit this form, you will be redirected to PayPal to pay with a card or through PayPal directly. Total is in US dollars. If you are unable to complete this form for any reason, or you have questions about registration, please contact info@yvc.org

"*" indicates required fields

Name*

First Last

Email*

Phone (Preferably a cell phone so you can receive texts during summit)*

Location*

City State / Province / Region

Name as you would like for it to appear on your nametag*

First Last

Gender*

Male

Female

Prefer to self-describe

Role*

If other, please specify*

Attendance*

Please indicate your attendance for the event

Attending the full Conference (Friday and Saturday)

Attending the Summit Awards Ceremony Dinner Only (Saturday Night)

T-Shirt Size*

Do you understand that you have selected "Attending Summit Awards Ceremony Dinner Only?"*

You must register if you would like to attend the conference.

I understand.

Please select your affiliate from the menu below.*

Age*

Summit Individual Youth Permission Form*

I have obtained signed permission from the parent or legal guardian for the youth above to be transported to Summit-sponsored activities and travel overnight. I have also obtained a signed photo/video release and any needed medical insurance information. My permission form waives any rights, claims of responsibility or liability, or cause of action resulting from participating in YVC activities during the Summit; it agrees to indemnify YVC, its employees/representatives, and its partner agencies. View YVC Minor Travel Consent Waiver 2026

Yes

No

Meals & Refreshments

Any dietary restrictions?*

Yes

No

If yes, please select any that apply*

Vegetarian

Gluten Free

Nut allergy

No red meat

Kosher

Other

If other, please specify*

Emergency Contact Information

Emergency Contact Name*

First Last

Emergency Contact Phone*

Secondary Emergency Contact Phone

Any medical considerations?*

Yes

No

If yes, what?*

Emergency Procedure Policy*

I am aware of the YVC emergency procedures. The purpose of this policy is to set forth guidelines for dealing with emergencies and unplanned/unexpected events during YVC activities. View Emergency Procedure Policy

Payment

Payment Method*

Please Specify

Paid by host organization

Scholarship

Organization Name

Bus Fare*

Price:

Saturday Evening Awards Banquet Only*

Price:

Summit Registration*

Adult - $205

Youth - $190

Total

Important

*Please note: you MUST choose a form of payment to fully register. You will receive a confirmation email saying you are registered. If you do not receive the confirmation email, please reach out to Emily Unsen at eunsen@yvc.org or Heather Pedersen at hpedersen@yvc.org.

Agreement*

I have read the above statement and understand that I'm not fully registered until payment is received.

Agreement*

I have read and understand the cancellation and refund policy. View Summit Cancellation and Refund Policy

Contact Info

Phone: (816) 472-9822

Email: info@yvc.org

Mailing Address:

1025 Jefferson Street
Kansas City, MO 64105

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Give us a call or drop by anytime, we endeavour to answer all enquiries within 24 hours on business days.

(816) 472-9822

info@yvc.org

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"*" indicates required fields

Are you in an area with no Youth Volunteer Corps affiliate nearby, but you still want to participate in the Volunteer For 15 program? No problem! All you need to do is volunteer for 15 hours in your community, and when you have completed the hours, fill out this form and submit the information! It’s that easy!

Be sure to read the form from beginning to end so you know what information you will need when you return to fill it out!

Contact Info

Name*

Youth's First Name Youth's Last Name

Youth Age*

Please enter a number from 11 to 18.

Youth Email Address*

Youth Full Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

You will receive your certificate and letter after review by Youth Volunteer Corps staff.

Volunteer Info

Service Project*

Date(s)*

Hours*

What Did You Do?*

Service Project

Date(s)

Hours

What Did You Do?

Service Project

Date(s)

Hours

What Did You Do?

Parent/Guardian Info

Parent/Guardian Contact Email*

Parent/Guardian Contact Cell Phone*

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