Youth Tour Materials

If you prefer, click here to download forms for print then email to: [email protected]

2024 Youth Tour Parent/Legal Guardian Information Section

Name of Parent(s) or Legal Guardian(s)*
First Last
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Parent/Guardian Email*
Parent/Guardian Phone Numbers*
Home
Work
Work
Cell
Cell
Son/Daughter Name
First Last
2024 Youth Tour Permission Statement*
I hereby grant permission for my son/daughter (name above) to represent our Electric Cooperative on NRECA Youth Tour, June 17-21, 2024 and sponsored by the Virginia, Maryland & Delaware Association of Electric Cooperatives (VMDAEC). I further authorize and direct the VMDAEC through its chaperones and Tour Director on said trip to direct and supervise our child. I understand my/our son/daughter will travel by car/bus from June 17-21, 2024 with chaperones from our Electric Cooperative and VMDAEC staff and that both photo and video images including him/her will be taken and posted on social media and photo sharing sites for possible use by their co-op, VMDAEC and NRECA in various publications and online outlets.
By checking this box and typing my name below, I am electronically signing this statement.
Signature
First Last
Date
MM slash DD slash YYYY

If you prefer, click here to download forms for print then email to: [email protected]

2024 Youth Tour Parent/Legal Guardian Medical Permission Form

Parent or Legal Guardian
First Last
First Last
Name of Child
First Last
2024 Youth Tour Medical Permission Form*
I/We the undersigned parents or legal guardians (name above) desire that our child (name above) shall have the opportunity to visit Washington, DC from June 17-21, 2024, sponsored by the Virginia, Maryland & Delaware Association of Electric Cooperatives (VMDAEC) do consent to our child taking such trip. It is understood that our child will travel by car and bus from June 17-21, 2024. Chaperones from our Electric Cooperatives and VMDAEC will accompany the group on this trip. We further authorize and direct the VMDAEC through its chaperone and Tour Director on said trip to direct and supervise our said child; and we further request and authorize the VMDAEC through its chaperones and Tour Director to secure any medical or other emergency services the said chaperones or Tour Director, in their reasonable discretion, may believe to be necessary or desirable for our child during such trip.
By checking this box and typing my name below, I am electronically signing this statement.
Signature
First Last
Date
MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State ZIP Code
Family Medical Insurance Policy Information*
Name of Company Policy Number Named Insured (of family's health insurance policy) Relationship
Scan and upload a copy of both sides of medical card*
Drop files here or

Max. file size: 50 MB.

If you prefer, click here to download forms for print then email to: [email protected]

2024 Youth Tour Delegate Designation of Beneficiary Insurance Policy

The insurance policy covers the following if occurring during the Youth Tour:

$10,000 benefit for death or dismemberment
$10,000 Accidental Medical Expense Benefit ($25 Deductible)
$1,500 Sickness Medical Expenses for injuries and illnesses ($25 Deductible) e.g., colds, flu, diseases, broken bones, etc.).

*This is a supplemental policy to the medical plan in effect for the participant. All claims must first be filed with the individual’s effective medical plan and any amount not covered under that plan can then be submitted to NRECA for payment.

2024 Youth Delegate Designation of Beneficiary Insurance Policy

I,*

Youth Delegate Name
of
City State ZIP Code
DO HEREBY DESIGNATE

Name of Beneficiary(ies)
of
Beneficiary Street Address Address Line 2 City State ZIP Code
2024 Youth Delegate Designation of Beneficiary Insurance Policy*
I understand that this supplemental coverage will be in effect June 17-21, 2024, from the time the student leaves on the Youth Tour trip until he/she returns home.
By checking this box and typing my name below, I am electronically signing this statement.
Student Signature
Student Name
First Last
Date
MM slash DD slash YYYY
The insurance policy covers the following if occurring during the Youth Tour: • $10,000 benefit for death or dismemberment • $10,000 Accidental MedicalExpense Benefit ($25 Deductible) • $1,500 Sickness Medical Expenses for injuries and illnesses ($25 Deductible) (e.9., colds, flu, diseases, broken bones, etc.). *This is a supplemental policy to the medical plan in effect for the participant. All claims must first be filed with the individual's effective medical plan and any amount not covered under that plan can then be submitted to NRECA for payment.
List any pertinent information we need to know about your child (medication, allergies, etc.) Type N/A for none.*

Please submit these pgs. 3-5

If you prefer, click here to download forms for print then email to: [email protected]

2024 Youth Tour Consent for Medical Treatment, Liability and Publicity Release Form

Youth's Full Name*
First Last
Consent for Medical Treatment, Liability and Publicity Release Form*
READ THIS FORM COMPLETELY AND CAREFULLY AS THIS DOCUMENT IMPACTS IMPORTANT LEGAL RIGHTS. I/We the undersigned parent(s) or guardian(s) of (youth’s full name listed above) give my/our consent for him/her to participate in Youth Tour from Sunday, June 19, 2023, through Thursday, June 23, 2023 sponsored by the Virginia, Maryland and Delaware Association of Electric Cooperatives (VMDAEC). I/We understand that this participation involves travel within and outside Virginia, Maryland, and Delaware. I/We authorize and direct VMDAEC, through their staffs and volunteer chaperones, to direct and supervise my/our son/daughter. I/We further request and authorize VMDAEC through their staffs and volunteer chaperones, to secure any medical or other emergency services the said staffs and volunteer chaperones in their reasonable discretion may deem necessary or desirable for my/our son/daughter, and to otherwise proceed to care for my/our son/daughter in place of myself/ourselves as parents. I/We further release VMDAEC staffs, volunteer chaperones, or other professional person of any claim whatsoever on account of first aid or medical treatment or services rendered at the Youth Tour. In the event that my son/daughter is unable to consent to emergency medical treatment, I/we authorize and consent to emergency medical care to be given as the judgment of medical personnel dictate. I/We will provide necessary medical information, including allergies, preexisting medical conditions, and necessary medications, to the VMDAEC staffs or chaperones. I/We hereby release and agree to hold harmless VMDAEC, NRECA, their Members, officers, members, staffs, and associated organizations and volunteer chaperones, together with their heirs, successors, or assigns from any and all causes of action, claims, damages, costs, expenses, compensation, personal injury, property loss, any other loss or injury, any and every demand, action or right of action, of whatever kind or nature, either at law or in equity, related to or arising out of participation by my/our son/daughter during his/her participation in the Youth Tour. I/we assume all risks associated with said participation. I/we hereby grant free permission to VMDAEC and NRECA to use photographs, likenesses, and/or video images of my/our son/daughter for publicity purposes related to this activity, in all media, in whatever form, in perpetuity.
By checking this box and typing my name below, I am electronically signing this statement.
Signed at*

City
Date*
MM slash DD slash YYYY
Mother's Name
First Last
Date
MM slash DD slash YYYY
Father's Name
First Last
Date
MM slash DD slash YYYY

If you prefer, click here to download forms for print then email to: [email protected]

2024 NRECA Youth Leadership Council (YLC) Application

State(Required)

Applicant Name:(Required)

First Middle Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

Age(Required)

Date of Birth(Required)

T-Shirt Size(Required)

Parent/Guardian Name(s):(Required)

First Last

Emergency Contact Name(Required)

First Middle Last

Relationship(Required)

Emergency Contact Phone(Required)

City and Airport Closest to Your Home:(Required)

Local Newspaper Name:(Required)

Local Newspaper Address(Required)

Street Address Address Line 2 City State ZIP Code

Sponsoring Cooperative:(Required)

Address of Cooperative:(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Cooperative Phone(Required)

Part 1: School Information

School Name:(Required)

School Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

School Phone:(Required)

School Fax:

Name of Principal:(Required)

First Last

Current Grade Level:(Required)

GPA (on 4.0 scale):(Required)

Major/Study of Interest:(Required)

Career Goal:(Required)

Please list activities you have participated in and any special honors you have received during your high school attendance (e.g., class officer, plays/music/arts, athletics, etc.)

ACTIVITY/HONOR:(Required)

Include years participated.

Additional Remarks/Notes:

Part 2: Extracurricular Activities

Please list extracurricular activities and clubs you have participated in (e.g., FFA, FHA, church/community service clubs, science club, etc.)

ACTIVITY/HONOR:(Required)

Include years participated.

Additional Remarks/Notes:

Please list any experience with public speaking:

Please list any writing experience (school newspaper, yearbook, etc.):

STATEWIDE CONTACT INFORMATION Dathie Washington
Youth Tour Director
[email protected] (804) 297-3487

2024 NRECA Youth Leadership Council (YLC) Permission & Medical Release Form

This form is required if your child plans to apply for one of the YLC positions representing Virginia, Maryland, or Delaware.

Child's Name(Required)

First Middle Last

State(Required)

We, the undersigned parents/guardians, desiring that our child (name listed above) shall have the opportunity to participate as a member of the Youth Consulting Board of NRECA representing the State of (state listed above) from June 17-21, 2024, do consent to our child participating in all activities and functions (including travel to and from conferences and meetings) related to the duties and responsibilities of the Youth Leadership Council. This form is required if your child plans to apply for one of the YLC positions representing Virginia, Maryland, or Delaware. We further authorize and direct any designated chaperones in their reasonable discretion to secure medical and/or other emergency services that the said chaperone may believe to be necessary or desirable for the Youth Consulting Board member during their time in office.

Signed at:(Required)

City, State

this(Required)

date

Parent/Guardian Signature:(Required)

Parent/Guardian Signature:

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Email(Required)

Phone

Cell

Phone

Mobile

Phone

Work

STATEWIDE CONTACT INFORMATION Dathie Washington
Youth Tour Director
[email protected] (804) 297-3487

2024 Youth Tour Helpful Information for Participants & Parents

Once students have been selected to go to Washington, D.C., they will want to know “What should I take with me? What am I supposed to wear?” The following information will help answer these questions.

DATES OF TOUR: Youth Tour is Sunday, June 17 through Thursday, June 21, 2024. More than 43 other states and 1,700 other students and chaperones will take part in Youth Tour 2024, sponsored by the National Rural Electric Cooperative Association (www.NRECA.coop ).

SPONSORS: You are part of the Virginia, Maryland & Delaware Association of Electric Cooperatives (VMDAEC) Youth Tour delegation. VMDAEC is a trade association for 16 electric cooperatives in these three states. Your cooperative pays student expenses and make arrangements for travel from their cooperative or home to VMDAEC offices in Richmond or the Hyatt Hotel in Washington and back again.

TRAVEL: Some of our delegation will be traveling from Richmond to Washington and back via bus. Some will be traveling to Washington via car and joining the group at the hotel and will then travel by bus until we depart to come home. We will retain the same bus for the duration of the Youth Tour.

LODGING: Our delegation will be staying at the Hyatt Regency Crystal City, 2799 Jeff Davis Highway, Arlington, VA 22202. The hotel’s main phone number is (703) 418-1234. If you need to call the hotel to reach your son or daughter, you will need to leave a message as we are out of the hotel most of each day. Another option is to ask call the Youth Tour Office at (703) 413-6808 and leave a message for your son/daughter or Andrew Vehorn, Youth Tour Director. Please indicate that you would like for your son or daughter (give their name and cooperative) to contact you as soon as they return to the hotel. Be sure to indicate when calling that your son or daughter is with the Virginia, Maryland & Delaware delegation. This will helps NRECA relay your message to us while we are in Washington. The Youth Tour office will be staffed until 11:15 p.m. and messages are picked up when we return to the hotel. If it is an emergency, please indicate this when calling.

Students may share a room with up to two other delegates. It can be challenging to have multiple persons share a room, but we are only allowed a certain number of sleeping rooms for our group. Each delegate is asked to respect their roommates during the four nights in the hotel and help ensure everyone is ready to leave on time each morning. Chaperones will perf01m a room check each evening, with curfew no later than 11 p.m. Delegates may stay up after room check in the evening but must remain in their assigned room.

DRESS: The tour calls for casual attire and we will provide shirts for certain days, including Congressional visits on Wednesday, to be worn with khakis or dress pants. While this time of year in Washington is typically very hot, we suggest bringing a light jacket or sweater for the evening functions in case it gets cool. The most important item is comfortable shoes – we will be doing a lot of walking during the tour. Make sure to pack one good pair of walking shoes and sneakers or whatever you normally wear for casual times. The program schedule indicates the appropriate attire for each day and evening function. If a student is found to be in inappropriate clothing or shoes, they will be asked to make an alternate selection at the discretion of their chaperone.

RESIDENT NURSE: We’ll have two resident nurses on duty in our hotel throughout Youth Tour week. For emergencies, Arlington Urgent Care Center, 1311 S. Fem St., Arlington, VA 22202 is open from 8 a.m. to 8 p.m. Monday – Saturday and 9 a.m. – 5 p.m. on Sunday. Students with medical condition(s) that we should be aware of or who are required take medications at specific times, are asked to let their cooperative chaperone know. If a student needs a nurse at any time during the tour, they should let their chaperone or a Tour Director know this.

CHAPERONES: Adult chaperones from your cooperative will accompany the youth delegates at all times during the tour. Andrew Vehom and Dathie Washington are the Statewide Youth Tour Directors from VMDAEC. We are anticipating 56 youths this year and 19 full-time adult chaperones from the sponsoring cooperatives, plus Association staff. Furthermore, professional security guards are on duty on every hotel floor from 10:30 p.m. to 5:30 a.m. to ensure maximum security.

INFORMATION FOLLOWING’ CODE RED” EVENT: Should a catastrophic event occur in Washington, D.C. during Youth Tour week, VMDAEC will contact the headquarters office of each participating cooperative to advise of the Youth Tour group’s status, so please contact your cooperative for more information if you are not able to get through on one of the hotel phone lines: (703) 418-1234 Hyatt main desk or Youth Tour Office at (703) 413-6808. In the event of a “Code Red” situation, information will be posted at ww.nreca.coop and updated as warranted.

INSURANCE: Accident insurance is provided by the sponsoring electric cooperative through NRECA and includes $10,000 in benefits for death or dismemberment to help cover medical costs for injuries and illness occurring during the Youth Tour. It will not cover an accidental injury that occurred before the start of the Youth Tour. If an injury or illness requires hospitalization, the procedure to be followed is:

Get a copy of the bill from the hospital or clinic and email to Dathie Washington at the VMDAEC office at [email protected] or mail to VMDAEC, 4201 Dominion Blvd, Glen Allen, VA 23060 so she can provide it to NRECA.
NRECA will work with the insurance company to make sure the bill is paid.
Chaperone will pick-up form from Youth Tour office to be used in filing a claim.
If you receive additional bills from the hospital, contact Dathie Washington and she will work with the hospitals or clinic to get claim paid (sometime this takes longer than expected.)

WHAT TO BRING WITH YOU: Students should bring any prescription medications in properly labeled containers, as well as a copy of their health care and prescription cards. They may also wish to consider bringing sunscreen and, if needed, braces or joint wraps to provide extra support. When packing, please leave room in the suitcase to bring back mementos of the trip, including VMDAEC delegation t-shirts and other items.

Click here to download a copy of these hints.

Questions please contact Dathie Washington at [email protected] or call 804-297-3487.

2024 Youth Tour Delegate Information Sheet

2024 Youth Tour Parent/Legal Guardian Information Section

2024 Youth Tour Parent/Legal Guardian Medical Permission Form

2024 Youth Tour Delegate Designation of Beneficiary Insurance Policy

2024 Youth Delegate Designation of Beneficiary Insurance Policy

2024 Youth Tour Consent for Medical Treatment, Liability and Publicity Release Form

2024 NRECA Youth Leadership Council (YLC) Application

Part 1: School Information

Part 2: Extracurricular Activities

2024 NRECA Youth Leadership Council (YLC) Permission & Medical Release Form

This form is required if your child plans to apply for one of the YLC positions representing Virginia, Maryland, or Delaware.

2024 Youth Tour Helpful Information for Participants & Parents

Outage Map

Legislative Map

Scholarships

Cooperative Living