Youth Tour Delegate Form

Delegates Full Name*
First Middle Last
Preferred Name*
First
If your preferred name is your first name please retype your first name.
Social Security Number*

For touring purposes.
Cell Phone Number*
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Date of Birth
MM slash DD slash YYYY
Shirt Size*
- Small
- Medium
- Large
- XL
- XXL
Parish*
Gender*
- Female
- Male
Assigned at birth.
Age*
Please enter a number from 1 to 99.
Sponsoring Cooperative*
School*
Guardian's #1 Name*
First Last
Guardian's #1 Email*
Guardian's #1 Work Phone*
Guardian's #1 Cell Phone*
Guardian's #2 Name
First Last
Guardian's #2 Email
Guardian's #2 Work Phone
Guardian's #2 Cell Phone
Delegate Photo*
Accepted file types: jpg, gif, png, Max. file size: 30 MB.
Upload a headshot of yourself for identification purposes.
Guideline Acknowledgment*
Delegate Acknowledgement
My child and I have read and understand all the guidelines and completed all of the forms.
Guideline Acknowledgement*
Parent Acknowledgement
My child and I have read and understand all the guidelines and completed all of the forms.