Registration

2026-2027 Youth Leadership Academy

Youth Leadership Academy is designed for juniors in high school in Adams, Brown, Hancock, Pike, and Schuyler counties. Throughout five monthly sessions, participants will not only learn leadership skills, but will also build communication skills, create a resume, serve the community, and meet State Legislators.

Tentative dates for 2026-2027

Friday, October 2
Friday, November 6
Friday, December 4
Friday, January 8
Friday, February 5
Friday, March 5
Weather date: Friday, April 2

Please read the 4-H Code of Conduct before completing the application. Behavior concerns will be addressed by Extension staff and may result in dismissal from the Youth Leadership Academy.

Already have an Extension User Account?

Optional: This will automatically fill in your contact details for a faster registration.

Contact Information

First Name

Last Name

Street Address

Street Address 2

City

State

ZIP

Daytime Phone

Evening Phone

E-mail Address

What is the student's first and last name?

Student Phone Number

Student Email

Which county do you go to school in?

Adams

Brown

Hancock

Pike

Schuyler

What school district do you attend?

Registration fee for Youth Leadership Academy

Youth Leadership Academy Registration Fee ($125.00)

Emergency Contact Information (Name, Relationship, & Phone Number)

Shirt Size These will likely be "fitted" polos, please adjust size according.

Adult Small

Adult Medium

Adult Large

Adult XLarge

Adult XXLarge

Do you have dietary restrictions or allergies?

If you need a reasonable accommodation to participate, please contact Shelby Crow at sschoon@illinois.edu.

I have read and agree to the 4-H Code of Conduct. I acknowledge that any disciplinary action may result in dismissal from YLA.

Yes

I permit University of Illinois to take my child's photo during participation in Youth Leadership Academy and to use my photo for promotional purposes.

Yes

Civil Rights Compliance - Participant Info

As part of our commitment to providing equal opportunities in our programming, University of Illinois Extension is required to collect and report overall statistics about the race, ethnicity, and gender of program participants. Your responses are voluntary and appreciated.

Gender

Ethnicity

Race

Refund Policy

Refunds will not be issued after September 25, 2026.

Total Registration Cost $

Illinois Extension

Registration

101 Mumford Hall (MC-710)

1301 W. Gregory Dr.

Urbana, IL 61801

Phone: 217-333-5900