*This form must be signed by the director of the GEAR UP grant. Complete one form, regardless of the number of students.
By signing below, I confirm that I approve the student(s) listed on the online application to attend the 2026 Youth Leadership Summit in Washington DC, on July 19-22, 2026, and agree to the following:
- I understand that my student(s) is/are not officially enrolled in the Youth Leadership Summit until:
- ALL the required enrollment information and permission forms have been submitted.
- The Annual Conference registration has been paid for each student.
- I understand that our GEAR UP Program is responsible for:
- Making and paying for all travel and hotel arrangements for student(s) and their chaperone(s) to attend the Youth Leadership Summit and paying for their conference registrations.
- Notifying all student(s) and their chaperone(s) about the travel and hotel arrangements for the Youth Leadership Summit prior to the NCCEP online student and chaperone Zoom orientations.
- Assigning the designated chaperone(s) for any student(s) participating in the Youth Leadership Summit, including being responsible for dropping off and picking up students at the Youth Leadership Summit training room, ensuring the students have the supervision of a chaperone when the Youth Leadership Summit is not in session, and being available in the event of a student emergency.
- Ensuring that travel arrangements and plans will not require a student(s) to miss Youth Leadership Summit activities. The Youth Leadership Summit begins on Sunday at 6:45 PM and concludes on Wednesday at 12:00 PM.
- Encouraging and supporting a student(s) to actively participate in all aspects of the Youth Leadership Summit.
- Following up immediately on any medical or behavioral issues that may occur to prevent the student from participating in one or more Youth Leadership Summit training sessions.
2. Director Signature *This question is required.
This question requires a valid date format of MM/DD/YYYY.