Youth Development Training Institute

Sponsored by:

***For a detailed schedule and final instructions for Friday, click here.***

Youth Development Registration Form

Please complete this form to register for the Youth Development Training Institute. All required fields are marked with an asterisk (*).

If you would like to attend the lunch session, we will have lunch available for purchase. You will be required to provide a payment of $8.50 via credit card. If you do not complete this step, your lunch purchase will not be processed. We accept Visa, Master Card and Discover, and all transactions are secure. If you plan to bring your own lunch you may skip this question.

If you would prefer to pay for the lunch by check please select that option below in the drop down menu. We must receive your check by September 22, 2009 in order to ensure we will have a lunch for you.

* First Name
* Last Name
* Organization or Employer
If you are registering on behalf of your organization, please list the names of those who will be attending with you.
* Address 1
Address 2
* City
* State
* Zip Code
* Phone
* Email Address
* How did you hear about the conference?
* What training topics most interest you?
Please select the breakout sessions you are planning to attend, so that we may plan accordingly for space. For more information about each of the sessions you can find a link to a detailed schedule at the top of this page.
* Which morning breakout session do you plan to attend? [10:00-12:00]
* Which lunch session do you plan to attend? [12:00-1:00]
If you would like to attend the lunch session, we will have lunch available for purchase. You will be required to provide a payment of $8.50 via credit card. If you do not complete this step, your lunch purchase will not be processed. We accept Visa, Master Card and Discover, and all transactions are secure. If you plan to bring your own lunch you may skip this question.
If you would prefer to pay for the lunch by check please select that option below in the drop down menu, and make the check out to Lipscomb University. We must receive your check by September 22, 2009 in order to ensure we will have a lunch for you. You can mail your check to Lipscomb University SALT Program One University Park Drive, Nashville, TN, 37204.
* Please indicate how many people you will be ordering a boxed lunch for.
* Which afternoon session do you plan to attend? [1:15-3:30]
Will you be needing any special accomodations? (dietary, mobility, etc.)
* Type both words below, separated by a space. Can't read the words below? Try different words or an audio captcha.