2026 Y2Y Summer Conference Participant Registration

Youth Participant Registrations must be completed by the participant's parent or guardian. Signature Authorizations will be required at the end of the form.

All participants must be attending with a group. You will be asked to input the group's name and point of contact. If you do not see your group listed, please confirm with your group's point of contact that they have completed the Group Application.

Visit our website for more information about the conference.

Registration Type*

Youth Participant (students in 9th-12th grade in 2026-2027 school year)Adult Participant

Participant Name*

First NameLast Name

Preferred First Name - for name tag *

Group/Organization you are attending with *

Point of Contact from group*

Point of Contact's Email*

Address*

Street Address

Street Address Line 2

CityState

Zip Code

County*

Participant Email *

Confirmation Emailexample@example.com

Participant Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Date of Birth*

Date

Gender Identity*

T-Shirt size*

School*

Grade (upcoming 2026-2027 School Year)*

Parent/Guardian Name (individual completing this form)*

First NameLast Name

Parent/Guardian Phone Number*

Format: (000) 000-0000.

Parent/ Guardian Email*

Confirmation Email

Emergency Contact Name*

First NameLast Name

Emergency Contact Relation to Participant*

Emergency Contact Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Alternate Emergency Contact Name

First NameLast Name

Alternate Emergency Contact Relation to Participant

Alternate Emergency Contact Phone Number

Format: (000) 000-0000.

MEDICATION

Routine prescriptions for controlled substance MUST be kept locked in the Nurse's Station in the Administrative Office in the original bottle, and the participant will obtain the medicine for self-administration when needed from the nurse. The nurse will remain at the Nurses Station for the first half of every meal and at night before lights out to be seen for medications, if needed. It will be the responsibility of the participant to see the nurse for self-administration. ONLY BRING THE AMOUNT OF MEDICINE NEEDED WHILE ONSITE AT THE CONFERENCE! Failure to disclose of controlled substances onsite may result in removal from the conference.

Does the participant take any prescription medications?*

YesNo

Will the participant be taking this medication at the conference?*

YesNo

Please detail all prescription medication, dosage, how often, and time of day it is taken:*

Does the participant have any medical conditions or physical limitations we should be aware of?*

YesNo

Please explain medical conditions and/or physical limitations:*

Does the participant have any environmental, food, or drug allergies?*

YesNo

What is the allergy to?*

Allergic reaction:*

Do any of the allergies cause a risk for anaphylaxis?*

YesNo

Will the participant be bringing an Epi-Pen?*

YesNo

Does the participant have any dietary restrictions?*

If needed, can a staff member administer Acetaminophen/Tylenol?*

YesNo

If needed, can a staff member administer Ibuprofen/Advil?*

YesNo

In case of emergency, is the participant covered under a family medical/hospital insurance?*

YesNo

Insurance Company*

Policy Holder Name*

Insurance Company Phone Number

Format: (000) 000-0000.

Insurance Group #*

Policy ID*

YOUTH PARTICIPANT

EMERGENCY MEDICAL RELEASE

I being the natural parent/legal guardian hereby grant CompDrug/Youth to Youth, an Ohio, not-for-profit corporation, or its designee the right to transport the above captioned minor to any emergency medical or health care facility for immediate treatment and/or consultation, if necessary. Further, I hereby grant CompDrug’s medical designee, the right to consent to medical treatment on behalf of the above captioned minor. I understand that I will be notified of any emergency situation as soon as reasonably practical, but that this Emergency Medical Release may be utilized in the event that I am unavailable to provide necessary consent, and immediate authorization for treatment required. This release is effective for: Y2Y Summer Conference July 8-11, 2026.

PHOTO RELEASE

I understand that pictures and/or videos of my child may be taken at “Y2Y International Summer Conference” and hereby agree and consent to the use of these pictures/videos by Youth to Youth or its sponsoring organization CompDrug for promotional purposes.

EVALUATION RELEASE

I being the natural parent/legal guardian give my permission for my child to complete Youth to Youth conference evaluations. I also give permission for my child to participate in post-conference surveys and evaluations. I understand that data collected will be used for future program development.

ADULT PARTICIPANT

EMERGENCY MEDICAL RELEASE

I hereby grant CompDrug/Youth to Youth, an Ohio, not-for-profit corporation, or its designee the right to transport me to any emergency medical or health care facility for immediate treatment and/or consultation, if necessary. Further, I hereby grant CompDrug’s medical designee, the right to consent to medical treatment on my behalf. This release is effective for: Y2Y Summer Conference July 8-11, 2026.

PHOTO RELEASE

I understand that pictures and or videos of me may be taken at ‘Y2Y International Summer Conference” and hereby agree and consent to the use of these pictures/videos by Youth to Youth or its sponsoring organization CompDrug for promotional purposes.

RULES AND REGULATIONS

These rules are designed to ensure that all participants at the Youth to Youth Conference enjoy a maximum learning experience in an environment conducive to the exchange and sharing of ideas and concepts.  All participants are expected to adhere to the rules as outlined herein, or may be established from time to time by Youth to Youth.  Any violation of these rules may result in either a private discussion with a member of the Youth to Youth staff or immediate removal from the program or event.  Enforcement and supervision of these rules shall be at the sole discretion and judgment of Youth to Youth.  Parents/Legal Guardians will be responsible for transportation if their teen is removed from the conference.  All expense or cost associated with the participant’s removal from the program shall be the responsibility of the participant’s parent/legal guardian.   
 
Attendance: Timely attendance and participation are required at all scheduled events. 
Behavior: Participants are expected to conduct themselves in a mature and orderly manner at all times. No Bullying, disregard for safety of others/self, intentional destruction of property, or blatant disrespect.
Visitors: Visitors are not permitted for reason of supervision, liability, and contract with facility owners.   
Remain on Grounds: Participants are to remain on the grounds of the conference.  If a participant needs to leave the grounds for any reason, prior approval must be given by the Conference Coordinator.   
Use of Drugs or Alcohol: Participants either found using or under the influence or in possession of alcohol, tobacco, and/or other drugs, will be removed from the program.  Smoking cigarettes and/or vaping is not permitted.  Participants using prescription drugs for medical purposes MUST notify and store with conference Nurse in advance or at registration. 
Curfew: Participants must be in their assigned rooms at curfew.  Staff members reserve the right to conduct bed checks without notification any time during the program.   
Sexual Activity/Violence: No sexual activity, acts of aggression or violence are permitted. 
Dress Code: Clothing should be constructed and worn in such a manner that is not unduly revealing nor should clothing be worn so that undergarments are revealed.
Search and Seizure: Youth to Youth employees and staff may conduct, and are hereby expressly authorized by the conference participants and their parent(s) and/or legal guardian(s) to conduct, a search and possible seizure of property when Youth To Youth or its employee(s) or staff has a reasonable suspicion that the health, safety or welfare of the conference, the conference participant or others may be compromised or in danger or there is a reasonable suspicion that a conference participant or other(s) are or have been engaged in an illegal activity. Any employee or staff making a search or possible seizure will follow these guidelines:

A search and possible seizure of campus property (including all personal items found or located on campus property) may be conducted at any time that Youth to Youth, its employee(s) or staff has a reasonable suspicion to believe that a law has been or is being violated by a conference participant or other(s). This search and possible seizure may be made without the conference participant being present.
Items or other possessions, including but not limited to, illegal items or possessions that represent a possible threat or danger to the health, safety or welfare of the conference, the conference participant or other(s) may be seized by Youth to Youth, its employee(s) or staff.
The conference participant and their parent(s) or legal guardian(s) hereby expressly authorize that the conference participant's person may be searched by a Youth to Youth employee or staff when there is a reasonable suspicion that a conference participant has on their person an illegal item(s) or other item that may interfere with the conference purpose or compromise conference integrity. A search of a conference participant's person shall always be conducted with another Youth to Youth employee or staff member present.

 
I agree to indemnify and hold the Youth to Youth program and its’ sponsoring organization CompDrug, as well as the local sponsor and any of their agents and employees harmless from and against all claims, damages, cause of action or other liabilities cause by my violation of any of the rules and regulations contained in this agreement or established by Youth to Youth from time to time.   

I, Parent's First name *Last Name* , being the parent/legal guardian of the above named child, agree to the terms and conditions outlined in the following authorizations and have discussed them with my child:

I, First Name* Last Name* agree to the terms and conditions outlined in the following authorizations:

Youth Participant Authorizations:*

Emergency Medical Release (required to participate)Photo Release (optional)Evaluation Release (required to participate)Rules and Regulations (required to participate)

Adult Participant Authorizations:*

Emergency Medical Release (required to participate)Photo Release (optional)Rules and Regulations (required to participate)

Signed authorization agreeing to the Emergency Medical Release, Evaluation Release, and Rules and Regulations are all required to participate in the Y2Y International Conference. If you would like your student to participate, please make sure each is checked signifying your authorization.

Signed authorization agreeing to the Emergency Medical Release and the Rules and Regulations are required to participate in the Y2Y International Conference. If you would like to participate, please make sure each is checked signifying your authorization.

Signature

The conference participant rate is $650*. This fee includes programming, food, overnight accommodations, basic linens, and a 2026 conference t-shirt.

You may choose to Pay Now or Pay Later. The Pay Later option will send an invoice for the conference fee. The conference participant fee must be paid in full, or a Purchase Order confirming payment received by June 12, 2026.

*Ohio Participant Reduced Rate:

Thanks to funding from the Ohio Department of Behavioral Health, a limited number of reduced rates of only $50 will be available for Ohio Participants. These reduced rates are available on a first come, first serve basis upon completing the Participant Registration Form.

If the reduced rate is still available, it will show below. You must click the checkbox to apply the rate, at which point the Amount Due will change to $50. Once the reduced rate is no longer available, Ohio participants are welcome to attend at the full conference rate.

SELECT FOR REDUCED OHIO PARTICIPANT RATE $50:

Amount Due $:

Please select payment option:*

Pay NowPay Later

Pay Now - 2026 Y2Y Summer Conference Participant Fee*

USDDescription

Payment Methods

Credit Card

Apple Pay

Google Pay

Cash App Pay

Payment Information for Invoice

Name of Individual or Organization Paying*

Email - invoice will be sent to this address*

example@example.com

ATTN:

Billing Address*

Street Address

Street Address Line 2

CityState

Zip Code

2026 Y2Y Summer Conference Participant Registration Form

PARTICIPANT INFORMATION

MEDICAL INFORMATION

AUTHORIZATIONS

PAYMENT

Payment Methods