Register | FY27 Boys & Girls Clubs Symposium

Club & Attendee Information

Club Name *

Please enter your Club name.

Club City *

City is required.

Club State *

Club Registration Coordinator's Name *

Coordinator name is required.

Club Registration Coordinator's Email *

Valid email is required.

Attendee Legal First Name *

First name is required.

Attendee Legal Last Name *

Last name is required.

Preferred First Name

Name for Badge *

Badge name is required.

Attendee Email Address *

Valid email is required.

Attendee Mobile Phone Number *

Phone number is required.

Job Title *

Job title is required.

Primary Role *

Primary role is required.

Please specify role *

Role is required.

Years with the Boys & Girls Club Movement *

Please select duration.

Attendance

Which days will you attend? *

Friday, November 13 Saturday, November 14

Select at least one day.

Will you attend the Friday networking and welcome reception? *

Yes No Unsure

Please make a selection.

Will you attend Friday dinner and cocktails? *

Yes No Unsure

Please make a selection.

Will you attend Saturday’s structured-networking breakfast? *

Yes No Unsure

Please make a selection.

Will you attend the Saturday leadership luncheon? *

Yes No Unsure

Please make a selection.

Estimated arrival date and time

Estimated departure date and time

Hotel & Travel

Each Club may receive up to two paid hotel rooms. No additional rooms will be provided or covered. A hotel request is not confirmed until approved.

Are you requesting one of your Club’s two paid hotel rooms? *

Yes No

Please select Yes or No.

Has your Club coordinator designated you as a room recipient? *

Yes No

Please make a selection.

Requested check-in date *

Check-in date required.

Requested check-out date *

Check-out date required.

Room occupancy *

Single occupancy Sharing with another registered attendee

Please select occupancy.

Roommate’s Name *

Roommate name required.

Do you need an accessible hotel room? *

Yes No

Please select Yes or No.

Hotel accommodation details

Does your Club expect to request travel or lodging reimbursement? *

Yes No Unsure

Please make a selection.

Expected transportation method *

Please select method.

Please specify method *

Please specify method.

I understand that my Club is limited to two paid hotel rooms and up to $3,000 in total approved travel and lodging support. My hotel request and reimbursement eligibility are not confirmed until approved. *

You must acknowledge this policy.

Program Interests

Preferred breakout track *

Please select a track.

Club Solutions Lab interests (select up to 3)

Staff recruitment and retention Fundraising Youth mental health Board engagement Artificial intelligence Program quality Corporate partnerships Data and outcomes Other

0 selected

Please specify interest *

Please specify interest.

What is the most important challenge you would like to discuss with other Club leaders?

What do you hope to learn or accomplish at the symposium?

Would you be willing to share a successful Club practice? *

Yes Maybe No

Please make a selection.

What topic or practice could you share? *

Topic is required.

Would you be willing to facilitate a peer discussion? *

Yes Maybe No

Please make a selection.

Preferred structured-networking table *

Please select a preference.

Meals, Accessibility & Shirt

Dietary preference

Please specify

Food allergies

Accessibility or participation accommodations

Would you like a symposium shirt? *

Yes No

Please select Yes or No.

Unisex shirt size *

Please select a size.

Note: Dietary and accessibility responses are kept private.

Review & Acknowledgments

Photo & Video Permission *

I give the organization permission to photograph or record me during the symposium and use my image, voice, or likeness in communications about the symposium and the organization’s work. My decision will not affect my ability to attend.

Yes, I give permission No, I do not give permission

Please select an option.

Acknowledgments *

The information submitted is accurate. I understand that each Club may register no more than five attendees. I understand that each Club may receive no more than two paid hotel rooms. I understand that no additional hotel rooms will be provided or covered. I understand that approved travel and lodging support is limited to $3,000 per Club.

Please agree to all acknowledgments.

By submitting this form, you acknowledge that your information will be handled as described in our Privacy Policy.

Symposium Registration

FY27 Boys & Girls Clubs Symposium

Club & Attendee Information

Attendance

Hotel & Travel

Program Interests

Meals, Accessibility & Shirt

Review & Acknowledgments

Registration Summary

Registration Complete