~~~~~~~~~~~~
Your teams' strengths journey is just
3 easy steps away!

      REGISTER                

 DISCOVER

         ATTEND          

Complete this SBI Team 
Registration Form

Take the CliftonStrengths
online assessment to discover your top 5 talent themes

All  team members registered to
attend both days of the 2019 event

March 1, 2019 March 8, 2019 March 19 & 20, 2019
  Request CliftonStrengths Access Code During Registration  



Credit Card REGISTRATION 

School - Organization Name *
School Site - Department Name *
First Name - Primary Contact *
Last Name - Primary Contact *
Title - Primary Contact *
E-mail address - Primary contact *
Phone - Primary Contact *
Street Address *
City *
Zip Code *
Number of Participants early bird registering (Fee $375 per-person)
Participant 1 Name
Participant 1 E-mail Address
We will be sending the strengths online access code to each participant individually - please include their email address
Please note any dietary restrictions or allergies
CliftonStrengths Access Code *
Please let us know if you have already taken the online assessment and discovered your top 5 talent themes.
Participant 2 Name
Participant 2 E-mail Address
Please note any dietary restrictions or allergies
CliftonStrengths Access Code *
Please let us know if you have already taken the online assessment and discovered your top 5 talent themes.
Participant 3 Name
Participant 3 E-mail Address
Please note any dietary restrictions or allergies
CliftonStrengths Access Code *
Please let us know if you have already taken the online assessment and discovered your top 5 talent themes.
Participant 4 Name
Participant 4 E-mail Address
Please note any dietary restrictions or allergies
CliftonStrengths Access Code
Please let us know if you have already taken the online assessment and discovered your top 5 talent themes.
Participant 5 Name
Participant 5 E-mail Address
Please note any dietary restrictions or allergies
CliftonStrengths Access Code
Please let us know if you have already taken the online assessment and discovered your top 5 talent themes.
Participant 6 Name
Participant 6 E-mail Address
Please note any dietary restrictions or allergies
CliftonStrengths Access Code
Please let us know if you have already taken the online assessment and discovered your top 5 talent themes.
Mission - Program Description *
Provide the organizations mission and a brief description of programs. Describe the population served. How does strengths-based development fit into your mission?
Strengths-Based Experience to Date *
What experience has your organization had in receiving training on or implementing, strengths-based practices and principles? What challenges have you faced? What has gone well?
Why and Outcome Expectations *
Why is your organization participating in the SBI and what outcomes do you expect for your staff and organization as a result of participating in the SBI?
Authorized Signature - Executive Director *
By placing a check here as the Executive Director’s it will be honored as an online signature accepting the commitments to the program expectations. That I understand the expectations of both that organization and the participating staff members that the SBI requires and my that my organization will commit to these expectations.
Executive Director First Name *
Authorized Signature -- Executive Director
Executive Director Last Name *
Authorized Signature -- Executive Director

If you see this paragraph and the element below, then your browser doesn't properly support cascading style sheets. Do not change the values in the form elements below. They are used to prevent spam bots from using this form to send spam.

* Indicates a required field



REGISTRATION RATES

Early Bird Registration
November 10, 2018 - February 15, 2019 - $375 per person  (Teams of 4-6 per organization)

(Please note that registering with an Invoice/Purchase Order will hold your teams place, but PAYMENT MUST BE MADE IN FULL by March 10, 2019 to secure the Early Bird Registration Rate. If payment is not received by March 10, 2019, Standard Registration fees will apply.)

Standard Registration
February 16, 2019 - March 8, 2018 - $425 per person  (Teams of 4-6 per organization)

(Please note that registering with an Invoice/Purchase Order will hold your teams place, but PAYMENT MUST BE MADE IN FULL by March 31, 2019 to secure the Standard Registration Rate. If payment is not received by March 31, 2019, a Late Registration fee of $20 per-person will apply.)


FORMS OF PAYMENT

We gladly accept on-line credit cards (Discover, Visa, & MasterCard) payments and invoice/purchase orders (Please note that invoice/purchase order requests will hold your teams place but must be paid, by check, in full prior to the close of each registration phase. Payments not received by the close of a registration phase will reflect standard registration rates or late registration rates).


PAYMENT TERMS

Registering with an Invoice/Purchase Order request will hold your teams place, but PAYMENT MUST BE MADE IN FULL by the close of each registration phase: Early Bird payment deadline is March 10, 2019. Standard Registration payment deadline is March 31, 2019.  If payment is not received in full by close of each registration deadline, the Standard or Late Registration rate will apply (respectively). Check or Invoice/Purchase Order payment process registration will initiate YDN issuing a separate invoice to support the payment process.

Note: All balances over 30 days old will be charged an additional  1% finance charge each month.


CANCELLATION POLICY

All cancellations must be made in writing by March 8, 2019, and will incur a 25% cancellation fee. All cancellations after March 9, 2019 are non-refundable. Registered attendees are liable for all cancellation fees including payments that have not yet been received by YDN at the time of cancellation, however, individual team members unable to attend, can send someone in their place to fulfill the team member minimums.   All registered participants who do not cancel and do not attend are liable for the entire registration fee. Cancellations must be sent in writing to vicki@ydnetwork.org by March 8, 2019 to be eligible for a refund. Any exceptions for emergencies, extreme weather, or natural disasters will be considered on a case by case basis. 

For registration questions or to submit a cancellation, please send an e-mail to vicki@ydnetwork.org  


Questions about YDN LIVE 2019 Events registration? 

Send inquiries to vicki@ydnetwork.org