![]()
![]()

MEMORANDUM FOR ALL COMMANDERS
The Youth Patriotic and Leadership Foundation (YPAL), Inc. announces that
Enclosed is an information package pertaining to the 2006
Youth Patriotic and Leadership (YPAL) Foundation’s Youth Leadership Conference
(YLC). It is an updated version.
Please reproduce the enclosed forms as necessary.
Also, please ensure that the parents or guardians of nominees
fill out the parents consent forms completely.
The medical information is required because in an emergency it is
essential that anyone with a special physical condition or requiring special
medication be easily and quickly identified.
Adult escorts must also fill out these forms.
Please note that touring the "Freedom Trail" entails
considerable walking up and down the winding hills and dales of
We urge Commanders to encourage companions of their Chapters to contact
local schools right away to get started on arranging for
student selection and sponsorship. In
this regard please note that the National Association of Secondary School
Principals has previously placed the MOWW YLC programs on the NASSP National
Advisory List of Contest and Activities. This
is a very important point to make with local school officials.
REMEMBER,
applications, checks and completed forms must be received no
later than 01 March2006.
QUESTIONS?
2006
FIRST MEMO.doc
Post Office
![]()

Name:
Last: _______________________ First: ______________ MI: ____
Sex____Address_______________________________City/Town_________________________
State ___ Zip______ Tel (___) ________
City/Town__________________________
State ____Zip_____ Tel (___) ___ _____
List
accomplishments of applicant (School and community activities) on reverse.
Signature
of school official________________________ Date_____ Tel (___) ___ ____
Sponsoring
Organization/ ____________________________________
Signature
of sponsoring official ____________________ Date_____ Tel (___) ___ ____
Students
will attach the following to this application:
1. A 500-word essay on the “Bill of Rights and My Responsibilities.”
2. The Parent Release form with any medical problems noted.
Signature of applicant: _________________________ Date____________
Date
received__________
Room________
Section_______
Essay
received_________
Tuition Received________
Chaperone’s Comments:
![]()

FACT SHEET
The Youth Patriotic And Leadership (YPAL) Foundation was founded in
January 1991 as a non-profit (IRS 501(c)(3)) organization.
Its purpose is: “To promote, encourage and aid American youth to
develop an interest in the principles of freedom and leadership in a democracy
and to teach them about patriotism, courage, self-reliance, and kindred
virtues.”
In
April of each year the YPAL Foundation conducts a Youth Leadership Conference (YLC)
under the auspices of the Military Order of the World Wars (MOWW) and the
National Park Service (NPS). The
National Association of Secondary School Principals has placed the YLC programs
on the NASSP National Advisory List of Contest and Activities approved for high
schools.
The
YLC is an intense,
four-day, three-night program centered on
Monday; A guided tour of the downtown portion of
Tuesday; A lecture/tour of the
Wednesday; A special awards ceremony and a tour of
![]()
PARENT
WAIVER/INSURANCE INFORMATION/CONSENT AND
EMERGENCY/MEDICAL
TREATMENT/MEDICAL HISTORY FORM
This
form has four sections. Each needs
to be completed properly and must have the required signatures. To
be admitted to a youth leadership conference, this form should be received by
the Youth Patriotic and Leadership Foundation Youth Leadership Conference
Coordinator prior to the program or must at the very latest be handed in by the
participant upon arrival at the Boston National Historical Parks
NAME
OF PARTICIPANT_____________________________________
(PRINT LAST, FIRST AND MI.)
I.
PARENT
We
(I) hereby give permission for the above named student to attend a Youth
Leadership
Conference on (Date)_______________ to be conducted at the
discharge
the National Park Service, the Military Order of the World Wars, and
the
Youth Patriotic and Leadership Foundation, their officers, agents, instructors
and
employees, from any and all claims, demands, suits, actions or causes of
action
which we (I) mayor shall have by reason of any illness, injury or accident
incurred
or suffered by the above named participant at this conference and while
on
the premises or during programmed tours/visits to the various sites on the
Freedom
Trail, no matter how caused or occasioned.
DATE______________________
_________________________________
(Signature of Parent or Guardian)
TELEPHONE;
HOME______________________ OFFICE________________
II.
INSURANCE
The
Youth Patriotic and Leadership Foundation, Inc. does not carry medical
insurance
to cover participants. All students
must be covered by personal or
family
insurance.
WE
(I) HEREBY CERTIFY, under penalty of perjury, that the above named
student
is covered by medical insurance.
_____________________________ PHONE____________(HOME)_________(WORK)
Printed
name of parent and/or Guardian
_____________________________________
(Signature
of Parent and/or Guardian)
Insurance
Company ______________________________________________
Policy/Group
Number ___________________________Expiration Date_____________
Please
list an emergency phone number other than those above at which parent or
guardian may be reached:______________________________________________
lll.
PARENT
In
the event that our (my) child__________________________________________
becomes
ill or sustains an injury while under the supervision of the Youth
Patriotic
and Leadership Foundation staff, we (I) hereby give permission to
administer
first aid for our (my) child
child
to us (me), or to receive our (my) instructions for his/her care, consent is
given
to any licensed physician and/or surgeon to whom our (my) child is taken
for
treatment, to administer such treatment, drugs, and medicines and to perform
such
surgical procedures as he shall think the existing emergency requires for
the
relief of pain, and to preserve our (my) child
understand
and agree that, while the Youth Patriotic and Leadership Foundation
staff
may seek medical treatment for our child, we (I) hereby release and
discharge
the National Park Service, the Military Order of the World Wars, and
the
Youth Patriotic and Leadership Foundation, their officers, agents instructors
and
employees, from any and all claims, demands, suits, actions or causes of
action
that we (I) mayor shall have by reason of arranging for such medical
treatments
or from failure to seek such medical treatments.
DATE
______________________
___________________________________.
(Signature of Parent or Guardian
TELEPHONE:
(HOME)____________________
(WORK)______________________
IV.
MEDICAL BACKGROUND
Our
(my) child has been determined to have the following allergies:
________________________________________________________________________________________________________________________________________________
He/she
is taking the following medication for the treatment of:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Below
are listed any other medical conditions which he/she is known to have,
which
would preclude or limit in any way his/her participation in physical exercise
or
athletic programs _______________________________________________________
________________________________________________________________________
His/her
physician is:____________________________________________________
Address
______________________________________PHONE_________________
DATE
______________
__________________________________
(Revised
2 Feb 2005)
(Signature of parent or guardian)
![]()
PARENT WAIVER/INSURANCE INFORMATION/CONSENT AND
EMERGENCY/MEDICAL
TREATMENT/MEDICAL HISTORY FORM
This
form has four sections. Each needs
to be completed properly and must have the required signatures. To
be admitted to a youth leadership conference, this form should be received by
the Youth Patriotic and Leadership Foundation Youth Leadership Conference
Coordinator prior to the program or must at the very latest be handed in by the
participant upon arrival at the Boston National Historical Parks
NAME
OF PARTICIPANT_____________________________________
(PRINT LAST, FIRST AND MI.)
I.
PARENT
We (I) hereby give permission for the above named student to attend a Youth
Leadership
Conference on (Date)_______________ to be conducted at the
discharge
the National Park Service, the Military Order of the World Wars, and
the
Youth Patriotic and Leadership Foundation, their officers, agents, instructors
and
employees, from any and all claims, demands, suits, actions or causes of
action
which we (I) mayor shall have by reason of any illness, injury or accident
incurred
or suffered by the above named participant at this conference and while
on
the premises or during programmed tours/visits to the various sites on the
Freedom
Trail, no matter how caused or occasioned.
DATE______________________
_________________________________
(Signature of Parent or Guardian)
TELEPHONE;
HOME______________________ OFFICE________________
II.
INSURANCE
The
Youth Patriotic and Leadership Foundation, Inc. does not carry medical
insurance
to cover participants. All students
must be covered by personal or
family
insurance.
student
is covered by medical insurance.
_____________________________ PHONE____________(HOME)_________(WORK)
Printed
name of parent and/or Guardian
_____________________________________
(Signature
of Parent and/or Guardian)
Insurance
Company ______________________________________________
Policy/Group
Number ___________________________Expiration Date_____________
lll.
PARENT
In
the event that our (my) child__________________________________________
becomes
ill or sustains an injury while under the supervision of the Youth
Patriotic
and Leadership Foundation staff, we (I) hereby give permission to
administer
first aid for our (my) child
child
to us (me), or to receive our (my) instructions for his/her care, consent is
given
to any licensed physician and/or surgeon to whom our (my) child is taken
for
treatment, to administer such treatment, drugs, and medicines and to perform
such
surgical procedures as he shall think the existing emergency requires for
the
relief of pain, and to preserve our (my) child
understand
and agree that, while the Youth Patriotic and Leadership Foundation
staff
may seek medical treatment for our child, we (I) hereby release and
discharge
the National Park Service, the Military Order of the World Wars, and
the
Youth Patriotic and Leadership Foundation, their officers, agents instructors
and
employees, from any and all claims, demands, suits, actions or causes of
action
that we (I) mayor shall have by reason of arranging for such medical
treatments
or from failure to seek such medical treatments.
(Signature of Parent or Guardian
TELEPHONE:
(HOME)____________________
(WORK)______________________
IV.
MEDICAL BACKGROUND
Our
(my) child has been determined to have the following allergies:
________________________________________________________________________________________________________________________________________________
He/she
is taking the following medication for the treatment of:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Below
are listed any other medical conditions which he/she is known to have,
which
would preclude or limit in any way his/her participation in physical exercise
or
athletic programs _______________________________________________________
________________________________________________________________________
His/her
physician is:____________________________________________________
Address
______________________________________PHONE_________________
DATE
______________
__________________________________
(Revised
2 Feb 2005)
(Signature of parent or guardian)
![]()
CONGRATULATIONS
You
have been nominated to attend the Youth Patriotic and Leadership (YPAL)
Foundation
You
will be housed in The Constitution Inn (TCI) at
the
WHAT
TO BRING
Touring
the Freedom Trail means much exercise and requires good walking/running shoes.
Since it can be chilly and wet, a sweater and lightweight rainproof
jacket with hood is essential. For
the Tuesday night dinner all JROTC students will wear their Class A JROTC
uniform, non JROTC students will wear a coat and tie for the gentlemen and the
corresponding dress for ladies will be required.
Please remember that most of the time you will be wearing comfortable and
casual clothes; so DO NOT BRING TOO MANY.
Be sure to bring rubber shower shoes and personal hygiene items
deemed necessary. It is emphasized
that no one should walk around or take a shower in their bare feet; so bring
those shower shoes! Bring some
spending money; the amount to be determined by you and your parents.
CHECK
IN PROCEDURES
Plan
your trip to arrive at the CONSTITUTION INN at
FORMS
If
they have not already done so, please ensure your parents or guardians fill out
all the required forms. Every
precaution is being made to ensure your safety and comfort.
Some of this information is required because in an emergency it is
essential that anyone with a special physical condition or requiring special
medication be easily and quickly identified.
Also, since you will be utilizing facilities the Federal government, the
Release Form Liability forms must be filled out and delivered to the YLC
representatives upon your arrival. No one will be allowed to
remain overnight without these forms.
It is essential that the forms be completed and returned as soon as
possible.
QUESTIONS?
If you have
questions, contact CDR R. L. GILLEN
Post Office
![]()
Youth Patriotic and Leadership
Foundation
MEMORANDUM TO ALL REGION ONE CHAPTERS
SPACE ALLOCATION
1. Based on berthing space availability and each MOWW Chapters past participation, the following spaces will be reserved:
GREATER
RHODE ISLAND 02
TOTAL
35
2. Those Chapters desiring to send more students than indicated above may submit the names (indicating Standby) and they will be put on a separate list. The tuition remains at $200. per student. In event any Chapter/unit does not utilize their allocated spaces we will draw from the standby list to ensure we fill all 35 spaces. However, I need to know right away if your Chapter intends to participate in the 2006 YPAL YLC. If you can not or will not participate, the sooner you let me know, the sooner I can reallocate the spaces
3. As most of you are aware, the YPAL YLC Directors facilities/resources have been reduced, drastically. This will adversely impact on flexibility and will put an increased demand on the Director, me. So in an effort to eliminate unnecessary work, I will forward the 2006 YPAL YLC Package only after I receive your reply to this notice.
4. Please remember to advise the schools you are working with that if a school fails to provide all required information by the 1 March deadline, their spaces will go to students on the standby list. As soon as we receive the paperwork, the student’s names will go on either the allocated space or standby list. FIRST IN---FIRST ON, so do not miss the deadline.
Feel free to contact me at 617 241 2995 or E-mail at gillen@tiac.net
![]()