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2026 Statewide Youth Advocacy Conference - Adult Registration

Welcome to the registration for the 2026 Statewide Youth Advocacy Conference!

Location: Happy Valley Conference Center, Santa Cruz County
Date: Monday, July 13 through Thursday, July 16, 2026

This registration is a two-part process.

First Process:

1. Adult coordinators can register themselves and their coalitions via this online form.

2. After completing the registration, coordinators will receive additional paperwork within a week.

3. Coordinators will also receive youth registration packets to send to interested youth.

Second Process:

4. Once you confirm youth participation, you can register your youth partners via a unique Google Sheet link.

5. Youth/coordinator forms will need to be filled out and sent before the event.

If you have any questions about this process, please email Jocelyn Rodriguez at jocelyn@cyanonline.org.
1.First Name(Required.)
2.Last Name(Required.)
3.Pronouns (i.e., she/he/they)(Required.)
4.Gender(Required.)
5.Date of Birth (mm/dd/yyyy)(Required.)
6.Organization(Required.)
7.Position/Role(Required.)
8.Youth Coalition Name(Required.)
9.Personal Cell # (for day-of contact)(Required.)
10.Email Address(Required.)
11.How long have you worked in commercial tobacco control?(Required.)
12.How long have you been working with youth partners?(Required.)
13.Approximately, how many youth do you anticipate bringing to the conference?(Required.)