Welcome! We're glad you're here!

Welcome to the 2018 Maine Youth Action Network Annual Youth Leadership Conference registration page. Please make sure to complete all sections below. Thank you!

 
The conference will be taking place January 30th-31st at the Cross Insurance Arena in Bangor, ME and is designed for 7th-12th grade students.

Please note: Hotel costs are not included in the registration fees. MYAN has reserved room blocks at the Fireside Inn and Fairfield Inn in Bangor, and each group needs to book their own hotels. Deadline for discounted rates is January 10th. 

Primary Contact

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* 1. Primary Contact

Group Information: please enter the name of your affiliation (if applicable).

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* 2. Group Information: please enter the name of your affiliation (if applicable).

Attendance

In the fields below, please record the names of all attendees you are bringing from each youth group by age category. Be sure to include the names for ALL youth and adults attending, including the primary contact listed above.

We will be keeping a limit of 10 people per group. This is to ensure we will be able to provide registration spots for as many youth from across the whole State as possible! Thank you for understanding! 

You may register people from up to 3 different orgs/schools/groups together on this same survey (enter additional groups into questions #4 and #5 below).

Required Ratio: you must register a minimum of 1 adult per 6 middle school students and 1 adult per 8 high school students.

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* 3. Attendance

In the fields below, please record the names of all attendees you are bringing from each youth group by age category. Be sure to include the names for ALL youth and adults attending, including the primary contact listed above.

We will be keeping a limit of 10 people per group. This is to ensure we will be able to provide registration spots for as many youth from across the whole State as possible! Thank you for understanding! 

You may register people from up to 3 different orgs/schools/groups together on this same survey (enter additional groups into questions #4 and #5 below).

Required Ratio: you must register a minimum of 1 adult per 6 middle school students and 1 adult per 8 high school students.

Attendance (use the fields below IF you are registering a second youth group)

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* 4. Attendance (use the fields below IF you are registering a second youth group)

Attendance (use the fields below IF you are registering a third youth group)

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* 5. Attendance (use the fields below IF you are registering a third youth group)

Additional Adult Contact Information

Our hope is that all adults who attend with your group are engaged members of your youth group(s), who will participate in the event as learners in addition to their role of supporting the youth from your group to participate.

We will be sending information about expectations, how to prepare for the event, and other details to all adults listed.

Fill in the name and contact information of ALL adults attending with your group below (in questions #7-9 below).

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* 6. Additional Adult Contact Information

Our hope is that all adults who attend with your group are engaged members of your youth group(s), who will participate in the event as learners in addition to their role of supporting the youth from your group to participate.

We will be sending information about expectations, how to prepare for the event, and other details to all adults listed.

Fill in the name and contact information of ALL adults attending with your group below (in questions #7-9 below).

Additional Adult

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* 7. Additional Adult

Additional Adult

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* 8. Additional Adult

Additional Adult

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* 9. Additional Adult

Do you have any dietary restrictions? If so, please list below

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* 10. Do you have any dietary restrictions? If so, please list below

Payment. 

We appreciate the time and commitment it takes to attend this conference and would like to present a sliding scale of $75-100 for registration. Paying at the higher end of the scale helps us offset the cost making the conference more accessible to a wider audience. Thank you for supporting this work together.

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* 11. Payment. 

We appreciate the time and commitment it takes to attend this conference and would like to present a sliding scale of $75-100 for registration. Paying at the higher end of the scale helps us offset the cost making the conference more accessible to a wider audience. Thank you for supporting this work together.

Contact Info for Your Organization's Accounts Payable Department

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* 12. Contact Info for Your Organization's Accounts Payable Department

Select Payment Method:

If you choose to pay by credit card:
* there is an additional fee of $0.99 + 3.5% for each person you register.
* go to this address to process your payment:https://www.brownpapertickets.com/event/3192746
If you are paying by check:
* You will receive an invoice within a week from The Opportunity Alliance.

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* 13. Select Payment Method:

If you choose to pay by credit card:
* there is an additional fee of $0.99 + 3.5% for each person you register.
* go to this address to process your payment:https://www.brownpapertickets.com/event/3192746
If you are paying by check:
* You will receive an invoice within a week from The Opportunity Alliance.

Thank you for registering for the 2018 Maine Youth Action Network's Youth Leadership Conference!

Please click "done" below to ensure we receive your information

Click here for hotel details. PLEASE NOTE: You must make hotel reservations by JANUARY 10th to qualify for discounted group rates!

Fairfield Inn (within 5 minute drive of Cross Insurance Center; requires transportation)

Fireside Inn (within walking distance to Cross Insurance Center)

You will receive a confirmation email within 3 business days. If you have any questions, please contact  Alastair Lawson at alastair.lawson@opportunityalliance.org or (207)553-5920. We look forward to seeing you at the event!

If you need to print the registration form just highlight the whole document, right click once and press print! 

For a school absence letter template, please click here: 

http://www.myan.org/wp-content/uploads/2017/10/Template-for-School-Absence-to-Attend-Conference-Letter.docx

Click here to download the Permission to Participate forms for your youth:

http://www.myan.org/permission-slip-2018/


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