Registration Form for the Young Democratic Socialists and Youth for

2008 YDS Summer Retreat
& Activist Conference
August 8-10, 2008
Valley Brook Inn

201 Kingston Ave, Rt. 209 ● Wurtsboro, NY

Full registration includes the weekend plus:

• extensive conference materials
• swimming, sports, and movies
• housing in cabins with individual bathrooms
• breakfasts, lunches, & dinners
• party

Please complete the information below...
Youth Cost:

Please carefully select the dates of your attendance. The dates cover the days you will be at the retreat. The discounted rates shown are valid for registrations that are made online or postmarked by Thursday July 21st. A nonrefundable $75 deposit must be made by July 21st. If necessary, the remainder can be paid on site.
Student/Unemployed Youth Rates

$135 Friday to Sunday    ($175 after July 21st)
$135 Thursday to Saturday   ($175 after July 21st)
$200 Thursday to Sunday    ($250 after July 21st)
$80 Thursday to Friday    ($100 after July 21st)
$89 Friday to Saturday    ($109 after July 21st)
$89 Saturday to Sunday    ($109 after July 21st)


Employed Youth Rates

$175 Friday to Sunday    ($200 after July 21st)
$175 Thursday to Saturday   ($200 after July 21st)
$240 Thursday to Sunday    ($280 after July 21st)
$109 Thursday to Friday    ($119 after July 21st)
$115 Friday to Saturday    ($135 after July 21st)
$115 Saturday to Sunday    ($135 after July 21st)

I have special financial circumstances and wish to apply for a scholarship.  Please click on your attendance dates above and see the scholarship application at the bottom of this form. We will not accept scholarship applications after July 14th.

[All rates are per person, double occupancy including taxes and meals. No single rooms are available]
Join YDS:

$10 YDS Membership - Special Conference Rate (Please Note: In order to vote in CC elections, Activist Agenda, and constitutional amendments you must be a member in good standing. That means you have paid dues within one year of the 2008 summer conference.)
Housing accommodations:
Your housing is covered with your registration.
Car Pooling:
A great way to save money on travel is to carpool. Both sides save when gas costs are shared, and YDS encourages conference attendees to look into carpooling from their communities. YDS will help coordinate carpooling efforts for those who fill out the section below.

I am interested in carpooling with someone.
I need transportation from (list location).

I have car and am willing to take others.
I can provide transportation from (list location).
I have room for passengers.
Enter your information:
First Name
Last Name
Email Address
Address
City/State/Zip
Phone
School (if applicable)
Graduation Date (if applicable)
Organisation (campus, community, and/or union)
Age
YDS Member?
(check all that apply)
 Yes No Thinking about joining
Interested in starting a chapter
How did you first find out about the conference? YDS Website
Facebook.com
CampusActivism.org
Listserv
Flyer
Friend
other
What are the issues that most interest you?:
Please enter additional comments or questions below:
Payment method:
Discounted registration rates are only available if paid on-line or post-marked by July 21st.
Deposits are accepted until July 21st and are non-refundable.
Pay $75 deposit by mail. The remainder can be paid on site.
Pay $75 deposit on-line with credit card (VISA or Mastercard only). The remainder can be paid on site.
Pay by mail
Pay on-line with credit card (VISA or Mastercard only)

Once you have completed this form, please click the “Send Form” button below.
IF YOU ARE PAYING ON-LINE WITH A CREDIT CARD, YOU MUST CLICK ON THE LINK PROVIDED IN THE PAGE THAT FOLLOWS ONCE YOU HAVE SUBMITTED THIS FORM. You will be sent to a separate on-line payment form.


Retreat Scholarship Application
To apply for a retreat scholarship, please click on your attendance dates in the first part of the registration form. Answer the questions below and email your answers to yds@dsausa.org with the subject line “scholarship.” Each answer should be no more than 200 words. We recommend doing a draft in Word before submitting this online. We will let applicants know by Friday, July 20th on how much they have been allotted. Preference goes to YDS members and those wanting to start chapters.

1) Please tell us your estimated travel costs (bus, train, or plane tickets, gas, etc.), how you reached that figure, and how long you intend to be at the retreat. Please note: we only subsidized plane tickets for nonrefundable flight costs purchased 21 days before departure.

2) Have you done any personal fundraising or applied for money from your school. If so, what? If not, why?

3) Why do you feel you deserve a scholarship?