San Diego Youth Leadership Conference

Joseph H. Pendleton Youth Leadership Conference, Inc.PO Box 1494, Fallbrook CA 92088-1494

A Patriotic Education Program of San Diego County Chapters of

The Military Order of the World Wars

And

National Sojourners, Inc.“Attitude is Everything”

From:

Board of Directors

To:

Prospective Conference Attendees

Subj: SAN DIEGO YOUTH LEADERSHIP CONFERENCE – 2011 Session

The San Diego Youth Leadership Conference is a patriotic education program founded by theMilitary Order of the World Wars, and supported by the National Sojourners, Hugh O’BrienYouth Leadership and Joe Foss Institute organizations. The purpose of the Youth LeadershipConference is to prepare selected students for leadership roles in their respective schools andlives. In addition, the students will receive educational material that they are normally notexposed to in today’s educational system. The program will improve the student’s knowledge of Leadership, American Heritage and History, and the Free Enterprise System. While in aneducational environment the students will gain life long lasting friendships and connections.All students must be a volunteer to attend, be an incoming sophomore, junior, or senior in highschool, be of good moral character and sound judgment, and finally have a high school grade point average of 2.5 or higher on a 4.0 scale.Tuition for the conference is $150.00. Make checks payable to Joseph H. Pendleton YLC. Mailto, included with the applications:San Diego YLCP.O. Box 1494Fallbrook, CA 92088-1494 Note: Student Scholarships are available through the sponsoring organizations. Please contact usatsandiegoylc@gmail.comfor more information.There are only a limited number of available student openings. In order to secure a student billet,the entire application must be complete,

including payment.

In order to secure your place, please submit your package a soon as possible. There are only 50 spots, with 5 alternate spotsopen this year.If you have any questions please feel free to contact us atsandiegoylc@gmail.comand we would be happy to answer any question you might have.Thank you for your time, and we hope to see your application soon!

Our Youth are the Nation’s Leaders of Tomorrow

San Diego Youth Leadership Conference

Joseph H. Pendleton Youth Leadership Conference, Inc.PO Box 1494, Fallbrook CA 92088-1494

A Patriotic Education Program of San Diego County Chapters of

The Military Order of the World Wars

And

National Sojourners, Inc.“Attitude is Everything”

Student Application

Date of Application _________________ Applicant Full Name: ___________________________________________ Age _____ Male _____ Female _____ LastFirstMIHome Address: ________________________________________________________________________________ StreetCityStateZipTelephone No: ( ) _________________ Sophomore ___ Junior ___ Senior ___ Email Address: ____________________________________________ T-shirt Size: S M L XL XXL Name of Parent or Guardian: _____________________________________________________________________ Name and Address of Student's School: _____________________________________________________________ _____________________________________________________________ (

If traveling by means other than Auto and you expect someone to meet you at your destination, complete theFollowing

) I will arrive by ______________________ by _____________________ at ______________AM/PMairport, train stationplane, train by the following mode of transportation ___________________________________________________________ include flight or train information

(Plan your trip to arrive at the conference not earlier than 12:00 PM nor later than 1:00 PM on Sunday of thefirst day of the conference)

I certify that this application is complete and that all information is true to the best of my knowledge (Incompleteapplications will be returned).Signature of Applicant: ______________________________________ Date: _____________________________

School or Sponsoring Organization Recommendation:

"I believe that this student possesses the qualifications to benefit from this leadership conference. The student possesses the academic qualifications as well as the motivation to become a leader and influence the actions of others for the benefit of our nation." Name of School/Sponsor Official: ______________________________________ Title: ______________________ Home Phone ( ) ____________________ Work Phone ( ) ____________________________ ext. _______ Note: Applications must be returned to the sponsoring organization in ample time to process and submit to theconference director by 17 June 2011. Funds are committed for housing, food services, and other logistic support andit is to allow sufficient time for processing applications, and the administrative and logistics details in preparationsfor the YLC. Applications will not be accepted or refunds made after the dates specified in the brochures.

Our Youth are the Nation’s Leaders of Tomorrow

San Diego Youth Leadership Conference

Joseph H. Pendleton Youth Leadership Conference, Inc.PO Box 1494, Fallbrook CA 92088-1494

A Patriotic Education Program of San Diego County Chapters of

The Military Order of the World Wars

And

National Sojourners, Inc.“Attitude is Everything”

AUTHORIZATION AND RELEASE FORM

I (we), the undersigned being the natural parents and/or the designated legal guardian(s) or custodian(s) of __________________________________, a minor aged ________ years, date of birth: ______________ hereby authorize,consent and contract as follows:Permission is expressly granted for said minor child to attend the Youth Leadership Conference (YLC) to be held at CampPendleton, California, during the period of 126 June to 1 July, 2011 inclusive, including the necessary travel time, under the jointsponsorship of the Military Order of the World Wars (MOWW) and/or its affiliates, hereinafter referred to as MOWW.It is understood that said child was invited to attend the Conference after being selected from among other applicants in a contestconducted and sponsored by the MOWW, who will supplement the expenses incurred by the child's attendance, includingtransportation, tuition, lodging, meals, tours, materials and all Conference activities.In consideration of the payment of the aforementioned expenses, I (we) hereby release and contract to hold harmless, theMOWW, and any other cosponsors of the YLC, from any and all liability and/or responsibility for the child's welfare, well-beingand control for the entire period of the Conference, including the day of arrival, and the day of departure from the Conferencesite.This is a voluntary release of liability and complete assumption of risk. I hereby release Marine Corps Base Camp Pendleton(hereafter “Camp Pendleton”), the United States Marine Corps, the Department of the Navy, the United States Government andall agencies and instrumentalities thereof, its agents, officers, servants and personnel (hereafter “the government”), from any andall liability, claims, demands and actions whatsoever resulting from my presence on Camp Pendleton, or my involvement insocial events and actions whatsoever resulting from my presence on Camp Pendleton, or my involvement in social events, tours,training and living in military quarters aboard Camp Pendleton.This release applies to myself, and to my parents, spouse, children, guardian, executors, future heirs, assigns, creditors andadministrators. This release of liability includes, but is not limited to claims based on negligence, both passive and active, of thegovernment arising out of or relating to any loss, damage, illness, death or injury that may be sustained while on CampPendleton. This release also applies to all dangers inherently involved in the event in which I desire to participate. I understandthat the risks involved in this event include, but are not limited to, risks resulting from walking through training areas, roughterrain, my personal physical condition, vehicles on and around the training areas and lack of hydration.Known risks aboard military installations include, but are not limited to: (1) injuries or death resulting from strenuous activities;(2) injuries or death resulting from recreational activities; (3) high volumes of traffic by civilian and military vehicles; (4)interactions with animals, both wild and domestic; (5) significant distances from recreational areas to medical treatment facilitiesor hospitals; (6) potentially hazardous training activities, including but not limited to, range firing, aircraft operations and fieldmaneuvers; and (7) hazards inherent to firing weapons, including but not limited to being wounded by errant projectiles, beinginjured by the target apparatus and exploding ammunition or weapons.I understand that no special measures have been taken to specifically address the needs, tendencies and care of minor children. Iagree that this release applies, not only to myself, but also to my minor children who accompany me, and to any minor childrenentrusted to my care or guardianship.I further state that I, _____________________have carefully read the foregoing release, know the contents thereof, and sign thisrelease as my own free act, on behalf of myself and/or my child or children for whom I am authorized to act as legal guardian.Enclosed is a check for $150.00 payable to the

J. H. Pendleton YLC Inc.

If the applicant does not arrive at the proper time and place for the conference, it is understood that this sum will be forfeited.Date: ______________Signature of Releaser (Student) _______________________________________ _______________________________________ _____________________________________________ Parent signatureParent signatureRelationship: __________________________ Relationship: ___________________________________