DELEGATE REGISTRATION
Due to Advisor ______________
Due to State Director: 2/7/16
Name _______________________________________________________ Delegate Cell Phone
#__________________________
Address_______________________________________________________________________
____________________________________
City ____________________________________________ State
__________________________
Zip _____________________
Delegate E-mail__________________________________________________________ Twitter
Handle: __________________
Grade________ School_____________________________ D.O.B _________________
Sex________ Shirt Size_________
I will require vegetarian meals
Other special dietary needs
_________________________________
Circle one: This is my 1st 2nd 3rd 4th 5th 6th 7th time as a YIG participant.
I am registering for (pick one): Senate___________
House __________
Attorney
_____________
House of Commons (all middle school) _____________
Press_____________
Lobbyist
____________
Have served as a YIG officer? _____________________
Position(s)___________________________________________
I have attended CONA _________(# of times) I have attended NJC______(# of times)
Delegation _____________________________________ Advisor’s Name
__________________________________________
Write your name as you would like it to appear on your nametag
__________________________________________
_
Print clearly
Every registration form must include one of the following items below:
A. Legislator (Bill Topic ex. Education, Transportation, Health, ok if it changes)
B. Lobbyist (Top 3 Lobbyist Organization Choices)
C. Attorney (Judicial Teammate(s))
D. Press (Area of Focus i.e. Video, Photography, Journalist, Social Media, etc.)
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
______
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GUARDIAN AUTHORIZATION FORM
Youth Delegate’s Full Name
______________________________________________________________________________
___
Address
______________________________________________________________________________
____________________________
City____________________________________________________ State
________________________ Zip _____________________
Date of Birth_______________________________________ Sex _____________
D.O.B_____________ Grade____________
Medical Insurance________________________________ Policy
Number__________________________________________
Dental Insurance _________________________________ Policy
Number__________________________________________
Parent or Guardian's Name
________________________________________________________________________
_______
Home Phone (__________)___________________________Work Phone (___________)
________________________________
Parent E-Mail Address:
______________________________________________________________________________
_________
Parent or Guardian Name
______________________________________________________________________________
____
Home Phone (________)_______________________ Work Phone (_________)
______________________________________
Emergency Contact's Name
______________________________________________________________________________
__
Home Phone (__________)_________________________ Work Phone
(________)_____________________________________
I/We plan to be away on vacation during the conference. You can reach me/us at:
______________________________________________________________________________
_______________________________________
My child
will attend YMCA of Delaware Youth in Government program conferences. Permission is given to
representatives of YMCA of Delaware Youth in Government to act as temporary guardian for the above named individual. This
temporary guardianship grants the YMCA of Delaware Youth & Government authority to consent to any medical, dental or
surgical diagnoses and or treatment, and hospital care to be rendered to the individual under general or special supervision and
upon advice of a health care provider licensed under the laws of the state or jurisdiction in which medical care is sought If my
child should be selected to attend the YMCA Youth Conference on National Affairs, this agreement shall continue to be valid.
It is understood that if time and circumstances reasonably permits, the YMCA of Delaware Youth and Government will
endeavor, but is not required, to communicate with the undersigned prior to rendering of medical or dental care for which
consent is given pursuant of this authorization. The undersigned understands and agrees that the YMCA of Delaware Youth and
Government shall not be legally or financially liable for any claim arising from the care provided pursuant to authorization. The
undersigned hereby agrees to indemnify and to hold the YMCA of Delaware Youth and Government harmless from any claim
made by or on behalf of said individual arising out of any medical care or dental care provided pursuant to this authorization.
This authorization is given to the YMCA of Delaware Youth and Government for use in conjunction with any event operated by
the YMCA including transportation to and from events and shall be valid until revoked in writing by the undersigned.
Permission is given to the YMCA of Delaware Youth and Government to use our child in any picture, film, or videos that will be
taken on the trip (or other activities), which will promote or benefit the YMCA of Delaware Youth and Government. Permission
is also given to transport our child during the trip.
I hereby indicate by the signature below that I am the authorized parent or legal guardian for the above minor.
Parent or Guardian's Signature _____________________________________________ Date
_______________________
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CODE OF CONDUCT COMMITMENT
The Code of Conduct is considered essential for participation in the YMCA of Delaware Youth in
Government Program and is binding on all delegates, advisors and staff. The intent is to hold each
participant responsible for his/her own actions. In addition, each YMCA/school/organization sponsoring
a delegation will be held accountable for the conduct of their delegation.
The State Director has the authority to interpret the Code of Conduct and administer any disciplinary
action deemed necessary.
Each participant is accountable for preserving the reputation and high standard of his/her delegation
and the Delaware Youth in Government Model Legislative Program.
Code of Conduct Contract must be signed and returned to the State Director. Branch Liaisons should
keep a copy for their file.
CODE OF CONDUCT CONTRACT
I have read and understand the YMCA of Delaware Youth & Government Code of Conduct, and I accept
the responsibility for my child's adherence to it. I also understand that if my child violates the Code of
Conduct and is expelled from the program, that I am responsible for his/her immediate transport home
from the YMCA Conference. This transport shall be done at my expense.
Parent or Guardian's Signature________________________________________
Date_________________________________________
I have read and understand the YMCA Code of Conduct and I agree to follow it. I understand that failure
to adhere to the Code's minimum standards of conduct may result in my immediate expulsion from the
YMCA of Delaware Youth & Government Program.
Delegate's Signature_________________________________________________________
Date______________________________________
PHOTOGRAPH & VIDEO RELEASE
In exchange for good and valuable consideration, the adequacy of which is hereby acknowledged, I
hereby give the YMCA of Delaware the absolute right and permission to take, copyright, use and publish
photographs or video of _____________________________ (name), in whole, in part or in any and all
media, for purposes of YMCA of Delaware art, education, information, promotion or advertising, or for
any purpose consistent with the YMCA mission, and I waive all rights thereto.
I represent that I am over the age of 18 years, and I have read the foregoing and understand its
contents. This release shall be binding upon me, my heirs, my legal representatives and assigns.
No modifications of this agreement shall be of any effect unless it is made in writing and signed by all of
the parties in the agreement.
_____________________________________________________________________
__________________________________
Signature (if minor, parent or guardian signs)
Date
_____________________________________________________________________
__________________________________
Address
Phone number
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Program Overview
“Democracy Must Be Learned By Each Generation”
YMCA Youth in Government (YIG) is a national teen leadership program, which involves thousands of teens nationwide
in state organized model government programs. YIG was established in 1936 by the YMCA of the USA, the Delaware
Youth in Government program began in 1969
Several months each year, teens meet in their local delegations to discuss and debate issues that affect citizens of
Delaware. At delegation meetings, teens create and write proposed legislation to address Delaware issues, learn about
the democratic system, are trained in parliamentary procedure, bill development, the legislative committee process and
debate. Judicial delegates learn about writing legal briefs, the appellate court system and performing oral arguments.
The program culminates with the teen participants serving as legislators, attorneys, lobbyists press and more at the 3day model Legislative and Judicial Conference held annually at Legislative Hall and The Kent County Court House in
Dover, Delaware. Delegates learn by doing, and have the opportunity to try their hand at leadership in an open and
receptive learning environment.
MISSION
Develop life-long responsible citizenship in teens by being both knowledgeable and active in determining the future of
our democracy.
OBJECTIVES
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Provide training and experience in understanding the legislative process
Develop critical thinking and analytical abilities
Deliver hands-on, active participation in the legislative process
Empower students to develop interpersonal communication skills
Instill awareness of social issues and their possible solutions
Supply opportunities to hear and respect varying viewpoints
Encourage active participation in political and public affairs
Academic enhancement through the development of research and reading/writing skills
State Program Fee
$250 *
*Your YMCA or School may add additional charges for cost related to hosting your delegation.
State Program Fee includes:
1. Delegate Manual and Bill Book
2. All materials for the Statewide Conferences
3. Hotel Room during three day conference
4. The following meals:
a. Dinners during the Model Legislature Conference on Friday and Saturday
b. Breakfast during Model Legislature Conference on Saturday and Sunday
c. Lunch during Training and Elections Conference on Saturday
(Delegates will be responsible for their own lunches on Friday, Saturday and Sunday
afternoons during the Legislative and Judicial conference)
5. Transportation between the Hotel and Legislative Hall
6. Conference T-shirt
Financial Aid funds are available based on financial need. If you are in need of financial
assistance, please discuss this with your advisor as soon as possible.
2016 YMCA OF DELAWARE
YOUTH IN GOVERNMENT SCHEDULE
The following dates are when documents must be submitted to the State Director. Your
delegation will likely have separate due dates.
Date
January 1st
Event
Details
Delegations Begin
Meeting
www.yigde.org
March 19th
Assignment Due Dates
March TBD
Leadership Training
April 7th
Governor’s Leadership
Retreat
 Mandatory forms for all delegates
o Registration Form
o Authorization/ Medical Form
o Code of Conduct
 Payment Due
o $50 Non-Refundable Deposit OR
o Financial Aid Application
 All first drafts due
o Bills from Legislators
o Briefs from Attorneys
o Organizational Profile
 Leadership Applications Due(2016 positions)
 T-Shirt Design
 Statewide training and elections conference for
all delegates and advisors.
 Hotel Rooming List(advisor)
 All program fees due
 James C. Hardcastle Nomination
 Leadership Applications Due(2017 Positions)
 All final drafts due
o Bills from Legislators
o Briefs from Attorneys
o Legislative priorities from lobbyist
 Mandatory leadership training for elected
leadership.
 Mandatory Leadership retreat for elected high
school leadership.
April 8th-10th
Model Legislative and
Judicial Conference
 Statewide Model Legislative and Judicial
Conference for all delegates and advisors.
February 7th
Registration Packet
Due
February 21st
1st Drafts Due
March 5th
9am – 4pm
Training and Elections
Conference
March 13th
Due Dates
Location
Forms to be submitted to
advisor. Advisors either email or mail to
ssachs@ymcade.org or
Sam Sachs – Central Y
501 W 11th St, Wilmington ,
DE 19806
Bills submitted on yigde.org.
Briefs, Legislative Priorities,
leadership applications and
t-shirt e-mailed to
delawareyig@gmail.com
Legislative Hall
Dover, DE
2017 leadership applications,
Hardcastle nominations and
rooming list e-mailed to
delawareyig@gmail.com
Bills submitted on yigde.org.
Briefs, Legislative Priorities,
e-mailed to
delawareyig@gmail.com
TBD
Hilton Garden Inn, Dover, DE
Legislative Hall,
Kent County Court House,
Hilton Garden Inn, Dover
Downs,
Please retain this copy of the schedule for your personal records.
YMCA of Delaware Code of Conduct
Proximity Rule All participants share equally the responsibility of their actions when violations for the
Code are witnessed. Those who decide to be present when a violation occurs shall, by their own choice,
be considered a participant in the violation.
Infractions of General Rules A – D shall result in expulsion from YMCA Youth in Government program. In
addition, local law enforcement agencies may be contacted.
A. Any act of vandalism, destruction of property or misuse of a facility may be a crime and treated
as such. Individuals will be billed for any damage incurred.
B. Possession and/or consumption of alcoholic beverages and other illegal drugs is prohibited.
C. Weapons of any kind and items that could cause injury or damage to participants or property
are prohibited.
D. Activities, which endanger the health and safety of yourself or others, is prohibited.
Infractions of General Rules E – O may result in expulsion from YMCA Youth in Government.
E. Smoking and/or use of tobacco products is prohibited.
F. Failure to wear the YIG ID Badges at all times.
G. No delegate, advisor or staff may have visitors at the hotel. This includes family and
boyfriends/girlfriends. You may have visitors at Legislative Hall only.
H. Leaving the place of lodging, Legislative Hall, Kent County Courthouse or other conference
facilities without permission of the State Director is prohibited.
I. Inappropriate and uninvited physical contact between any Youth in Government participant,
staff member, or guest is not allowed.
J. In order to be considered an active participant in this program, you must be present and
punctual at all meetings where your involvement is required.
K. Participants shall observe all curfews and be in their assigned sleeping rooms at the established
curfew.
L. No delegate shall be present in the hotel room with a member of the opposite sex at any time,
unless an advisor is present in the room, or there are five or more delegates present in the
room, two of which are the same sex (3-2 rule) with the door open, feet on the floor.
M. DELEGATES MAY NOT DRIVE ANY VECHICLE DURING THE TIME THEY ARE AT THE MODEL
LEGISLATIVE CONFERENCE. Any delegate seeking an exception must have written permission
from a parent/guardian and must clear it in advance with their advisor and State Director. Proof
in writing must be provided to the Youth in Government State Director.
N. All cell phones, pagers, i-pods, walkie-talkies and other electronic devices must be turned off
during all sessions, meetings, and hearings in all program areas. Advisors and staff may leave cell
phones on but inaudible for emergency contact reasons but must leave the session/area to
answer a call.
O. Delegate behavior will model the YMCA values of caring, honesty, respect and responsibility at
all times.
The Youth in Government State Director has final authority over all code of conduct violations.
Please retain this copy of the Code of Conduct for your personal records.