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Registration for the 2022 Global Youth Village in Bedford Virginia.

Rolling Admission - We recommended that registrations be received by April 4, 2022. Only 50 spaces available per session. Possibility we will open a second session (should spaces fill up)

We provide references upon request.
Comprehensive information including travel details, packing list, medical forms and more will be provided once you are registered.
Final Payments are due by May 30th, 2022.

REGISTER ONLINE:

Please complete the Online Registration Form (below) and submit it, and pay $100 tuition deposit online via PayPal (below). Please make sure the form is complete before submitting. Your registration will be considered upon receipt of your non-refundable tuition deposit of $100.

NOT SURE....

Questions? contact us at (540) 871-0882

Spaces are limited so register now. If you'd like to talk to us directly, we can answer your various questions via email or by phone.

GYV ONLINE REGISTRATION FORM below:

GYV Application (2022)

APPLICANT INFORMATION
Name
First Last
Date of Birth*
Month
Day
Year
Gender*
Name of Your School*
Your Current Grade*
Your Home Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Your Email*
Enter Email Confirm Email
Your Cell Phone
PARENT INFORMATION
PARENT/GUARDIAN 1 - Name*
First Last
PARENT/GUARDIAN 1 - Occupation
PARENT/GUARDIAN 1 - Business Phone*
PARENT/GUARDIAN 1 - Cell Phone
PARENT/GUARDIAN 1 - Email*
Enter Email Confirm Email
PARENT/GUARDIAN 2 - Name
First Last
PARENT/ GUARDIAN 2 - Occupation
PARENT/GUARDIAN 2 - Business Phone
PARENT/GUARDIAN 2 - Cell Phone
PARENT/GUARDIAN 2 - Email
Enter Email Confirm Email
How did you hear about Global Youth Village?*
- School
- Friend
- Past Participant/Alumni
- Consultant
- Internet Search
- TeenLife
- Facebook
Please provide name of Individual/Referral Source
PROGRAM CHOICES
Check the Box of the Program you wish to attend:*
- Session A - International student (ages 15-19): Global Youth Village & DC trip July 4 to July 25 - $3750
- Session A - US Student (ages 15-19) July 5 - July 20 - $1800
- Washington DC field trip July 20-25 Cost $1200
To whom should we bill tuition?*
Youth APPLICANT QUESTIONS
Please answer ALL of the questions below. At least 2 paragraphs should be devoted to each question.
1. Why would you like to come to the Global Youth Village and what do you hope to learn?*
2.Please describe an event or experience that created a significant impression on you.*
3. What international experience have you had (e.g., travel, pen pals, international friends)?*
4. Please describe what qualities you feel a good leader should have and why?
5. What kind of activities (sports, clubs, volunteering, leadership, etc) are you involved in? Which do you enjoy the most and why?*
Parent of APPLICANT QUESTIONS
Please answer ALL of the questions below. At least 2 paragraphs should be devoted to each question.
1. What qualities do you admire in your child?*
2. What special interests have you encouraged in your child?*
3. In what ways do you think the Global Youth Village will help him/her?*
4. Are there any impending or recent changes in your family situation? Please specify (e.g., separation, divorce, illness or death or a relative, change of residence, etc.)?*
5. Please advise us of any special considerations necessary for your child, including medical needs. Please describe if they are currently using medications.*
AGREEMENT and SIGNATURES
PARTICIPANT AGREEMENT: I have read the Global Youth Village Website/Brochure, have read all and /or agree to read all other materials sent to me about Global Youth Village and be informed. I understand Global Youth Village’s mission and agree to comply by the GYV guidelines.*
- I Agree
- I Disagree
• Be open to new ideas and willing to listen • Respect other people’s point of view, cultural differences and music • Participate fully in all activities • Resolve conflict through communication • Engage in non-exclusive, open relationships which avoid cliques and pairs • Accept predominately vegetarian diet free of sugar for a short period of time • Abstain from tobacco, alcohol and illegal drugs
PARTICIPANTS Signature*

I agree to follow the Global Youth Village guidelines
Date
Month
Day
Year
FOR THE PARENT - I understand that:*

• Full tuition is due by May 30. • Tuition covers room, board, program instruction and materials, and accident and sickness insurance only. It includes all of the above except for round-trip bus fare for U.S. participants.• Tuition must be paid in accordance with the payment schedule indicated above. • A $35 service charge is assessed on all returned checks. • Legacy reserves the right to cancel any one of the program selections if there is insufficient registration. • In the event of withdrawal before May 30, tuition will be refunded less the $100 deposit. After May 30, tuition will only be refunded only if Legacy is able to fill my child's space with a qualified applicant. • In the event that the child withdraws after beginning the two-week session, no refund will be made. • In the unlikely event Legacy cancels the program, tuition will be refunded less the $100 deposit.
DISCOUNTS Check all boxes that apply
- REFER-A-FRIEND: Refer a child who is accepted to the program and receive $100 discount.
- ROUND UP Option: Contribute an additional $100 towards our Scholarship Fund for families in need ($100 is tax deductible).
Parent Signature*
First Last
Date*
Month
Day
Year
Captcha

When you have completed your registration and submitted it, please also pay your tuition deposit.

How PayPal Works

Thank you for your Application! To be considered we must receive your $100 non-refundable tuition deposit online or in the mail. Check payable to : LEGACY INTERNATIONAL, Global Youth Village, 1020 Legacy Dr., Bedford, VA 24523

Registration for the 2022 Global Youth Village in Bedford Virginia.

REGISTER ONLINE:

NOT SURE....

GYV ONLINE REGISTRATION FORM below:

GYV Application (2022)

APPLICANT INFORMATION

PARENT INFORMATION

PROGRAM CHOICES

Youth APPLICANT QUESTIONS

Parent of APPLICANT QUESTIONS

AGREEMENT and SIGNATURES

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