1. What is your name?
Participant Name:
(Parents are not required to register for the conference. U.S. parents accompanying their child using the ACIS travel package will need to register through ACIS for travel. See Youth Conference Travel Information on the ISC website.)

2. Are you male or female? Male Female

3. Are you a student or educator? student educator

*What is your grade or level in school?

*What is your position in school?

4. What is your email address?

5. Do you have regular access to the above email address? Yes No

6. What will be your age at the time of the conference (April 2010)? younger than 11 11 12 13 14 15 16 17 18 19 older than 19
Remember students must be 11-19 at the time of the conference. Older university students may be eligible to be an ISC Youth College Assistant by contacting isc.yc.chairmen@gmail.com

1. What is your school name?
School Name:

2. What is your school's address including street address, city and country?
School Address:

3. What is your home address?
Home Address:

4. In case of an emergency during the conference, what is the name of your emergency contact person (such as a parent, close relative, or guardian)?
Contact Person Name:

5. What is your relationship to the emergency contact person?
Relationship:

6. Through what phone number(s) could that person be contacted?
Phone Number(s):

7. Explain in a few sentences or a paragraph why you want to attend the conference and what you hope to gain through your participation.

8. Teacher Recommendation: You need to ask a teacher to send a few sentences or a paragraph recommending you to represent your school and country at the ISC 2010 Youth World Conference. Please have it sent to isc.yc.chairmen@gmail.com within 10 days of your registration. Your application will be complete only when your teacher reference is received.
What is the name and email address of the teacher who will be sending a reference?
Teacher's Name:
Teacher's E-mail:

9. If you are traveling with a group to the Youth World Conference, who is the leader of your group?
Group Leader:

10. Please describe the type(s) of technology you have used to connect with someone who is in another city or country (such as SKYPE, email, Homemeeting, etc.)?
Type(s) of Technology:

To pay for the Youth World Conference registration fee, what form of payment will you be using out of the following options?

• Will pay with a credit card through the www.iscweb.org PayPal (Click here to go to the PayPal page)
• Check to ISC mailed to:
  • ISC - Youth World Conference
  • 13604 Waterfall Way
  • Tampa, Florida 33624 USA
• Bank Wire to:
  • Bank of Tampa
  • Post Office Box one
  • Tampa, Florida 33601-0001
  • Acct. # 91002974
  • Routing # 063108680
• Cash is to be paid at the beginning of the conference in US dollars or equivalent in Swedish currency.
• Purchase Order Please send your purchase order to:
  • ISC - Youth World Conference
  • 13604 Waterfall Way
  • Tampa, Florida 33624 USA
  or email Purchase Order to dan.hector@iscweb.org
• Other form of payment such as a scholarship or other approved methods. Explain:

The conference registration fee is $350 USD for those registering by September 1, 2010. After September 1, 2010 the fee is 400USD. After September 1, 2010 the fee is 400USD unless participant registered by September 1 and has arranged to pay cash at the conference site.