GLC Registration: Registering Others

This form is for registering yourself and up to two others or for registering up to three people without registering yourself. Also use this form only if you’re not a staff member at a JA regional operating center (ROC).

If you’re registering only yourself, please return to the GLC registration landing page and choose “Registering Yourself." If you’re part of a JA regional operating center (ROC), regardless of how many staff you’re registering, return to the GLC registration landing page and choose “Registering ROC Staff.”

Ready to begin? Dive in! Once you’ve completed the form and click "SUBMIT," you'll be taken to the checkout page.

The official name of your JA location

For example, INJAZ Bahrain, Young Enterprise Northern Ireland, Prestasi Junior Indonesia, JA of San Diego County

Your name

That is, the name of the person completing the form. Note that you can register yourself, too, as one of the three attendees, below. But please do not complete this registration page unless you're also registering other people.

First Name

Last Name

Your email

The attendees I will be inputting below have given me permission to register them, and their supervisors have approved their attendance at GLC.

Yes

No (if "No," please stop, obtain the required permission, and return here to register)

First attendee

Name

Please write the attendee's name as it is shown on their passport

First Name

Last Name

Name for nametag (optional)

Please write the attendee's name as they would like it displayed on their GLC nametag

Job title for nametag

Single room or shared?

Conference fee (per person per room), including hotel room and meals, is US$680 per person for a single room and US$550 per person for a shared room. Fee does not include airfare, airport transfer, and one dinner on your own.

Single room

Shared room (you must name your roommate, below)

Name of roommate

Dietary restrictions?

We'll do our best to offer as many options as possible and encourage attendees to bring their own snacks to augment.

Doest this attendee require an accommodation (for example: sign language interpreter, wheelchair access, active-listening device, closed-captioned videos, and so on)? If so, please list these needs in the space below.

Second attendee

Name
Please write the attendee's name as it is shown on their passport

First Name

Last Name

Email

Name for nametag (optional)
Please write the attendee's name as they would like it displayed on their GLC nametag

Job title for nametag

Single room or shared?
You're responsible for airfare, airport transfer, and one dinner on your own. Conference fee (per person per room), including hotel room and meals, is $550USD for a single room and $400USD for a shared room.

Single room

Shared room (you must name your roommate, below)

Name of roommate

Dietary restrictions?
We'll do our best to offer as many options as possible and encourage attendees to bring their own snacks to augment.

Does this attendee require an accommodation (for example: sign language interpreter, wheelchair access, active-listening device, closed-captioned videos, and so on)? If so, please list these needs in the space below.

Third attendee

Name
First Name

Last Name

Email

Name for nametag (optional)

Job title for nametag

Single room or shared?
You're responsible for airfare, airport transfer, and one dinner on your own. Conference fee (per person per room), including hotel room and meals, is $550USD for a single room and $400USD for a shared room.

Single room

Shared room (you must name your roommate, below)

Name of roommate

Dietary restrictions?
We'll do our best to offer as many options as possible and encourage attendees to bring their own snacks to augment.

Does this attendee require an accommodation (for example: sign language interpreter, wheelchair access, active-listening device, closed-captioned videos, and so on)? If so, please list these needs in the space below.