Youth In Government Day Participant and Parent Waiver Fall 2026

Youth In Government Day Participant & Parent Waiver 2026

Thank you for your interest in attending this year's Youth in Government Day on Tuesday, October 20, 2026! Participants will learn about local government and career opportunities through a panel discussion, tour the Douglass Community Center, and have lunch with their voting district representatives. This year's program is open to current juniors and seniors attending school in Loudoun County, Virginia.
Event Details
Tuesday, October 20, 2026, 10:30 AM - 6:00 PM

Attendance:
School is in session on Tuesday, October 20, 2026. By registering, you are committing to attend Youth in Government Day. Attendance will be taken, and your school will be notified if you are absent. Due to limited spaces, please do not register unless you are certain you can attend.

Transportation:
LCPS school buses will provide transportation between the event locations. Students will meet at the designated location at Philip A. Bolen Memorial Park and travel by bus to Douglass Community Center. Students should NOT be dropped off, picked up, or drive themselves to Douglass Community Center.

**Additional transportation and parking directions will be provided below and in future YIGD communications.**

Waitlist:
Once the event reaches maximum capacity, a waitlist will be established on a first-come, first-served basis. You and your parent/guardian will receive an email if you are placed on the waitlist.

If a position becomes available, you will receive an email with instructions to complete the required form. You and/or your parent/guardian must respond within 48 hours of receiving the email. If we do not receive a response within that time, we will offer the available position to the next student on the waitlist.

Thank you for your patience and understanding.

Schedule:
10:55 - 11:15 AM --- Student Check-In
11:15 - 11:25 AM --- Welcome: Overview Of The Day
11:25 AM - 12:20 PM --- Opening Remarks from Steve Torpy and Keynotes from Chair Randall
12:20 - 1:00 PM --- Lunch with Board of Supervisors and Staff
1:00 - 2:25 PM --- Panel Discussion with Closing Remarks from George Govan, Deputy County Administrator, Finance & Procurement
2:25 - 2:45 PM --- Transportation to Loudoun County Government Center
2:45 - 3:30 PM --- Dais Seating, Board Room Entry, and Remarks from Danny Davis, Deputy County Administrator
4:00 - 6:00 PM --- Live Board Meeting
6:00 - 6:30 PM --- Student Transportation/Dismissal back to Philip A. Bolen Park
Please review Youth in Government Day Student Information Packet
Please review Department Descriptions that will be apart of this years panel

Student Section

Please fill out all information to the best of your ability.
Full Legal Name

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearMM-DD-YYYY
Participant Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Participant Email - Please select one you check often
What grade are you in?
Which high school do you attend?
Please use the link below to check your voting district with your home address before answering the next question.

https://www.loudoun.gov/2782/Polling-Place-Lookup

Remember, just because you live in Sterling, Ashburn, or Leesburg does not ensure that is your correct voting district.
Please provide your correct voting district.
Note: If you live in Sterling, Ashburn, or Leesburg this does not guarantee that is your correct voting district!
Home Address?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
In 5-7 sentences, tell us in your own words why you are interested in Youth in Government Day. Please include one specific example, class, activity, career or personal goal that shows your interest.
Participants should not be using AI for this form.
In 2-3 sentences, tell us how you heard about Youth in Government Day
Please list any addition information - see below for details
Examples include, but are not limited to, medical, personal care, or individual needs or accommodations (developmental, physical, emotional, or learning). Including any medications, dietary restrictions or allergies, that we should be aware of

Parent/Guardian Section

Students who are 18+ MUST have their parent/guardian complete this section due to LCPS attendance reporting.
Parent/Guardian Full Name

First NameLast Name
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email
Secondary Parent/Guardian Full Name

First NameLast Name
Secondary Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Secondary Parent/Guardian Email

Emergency Contacts

Note: if Parents/Guardians and Emergency Contacts are unable to be reached PRCS must call VA Child Protective Services (CPS) in some emergency cases. Local emergency contacts are preferred, neighbors, family friends, etc. Out of town extended family will also be accepted.
Non-Parent/Guardian Emergency Contact (Must be 18+)

First NameLast Name
Non-Parent/Guardian Emergency Contact (Must be 18+)
Please enter a valid phone number.Format: (000) 000-0000.
Secondary Non-Parent/Guardian Emergency Contact (Must be 18+)

First NameLast Name
Secondary Non-Parent/Guardian Emergency Contact (Must be 18+)
Please enter a valid phone number.Format: (000) 000-0000.
Student's Doctor or Healthcare Provider Name

First NameLast Name
Student's Doctor or Healthcare Provider Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
The nature and scope of the activity listed above have been fully explained to me by the Parks, Recreation, and Community Services Staff and I understand that there may be risks and dangers associated with this activity. I also understand that each participant has the responsibility to exercise due care in the performance of the activity for their own safety and of the other participants and will abide by the safety rules and regulations established for the activity.

In consideration of the Participant being permitted to enroll and partake in this activity, I agree to assume all risks to my (child's) person or property, including transportation, incidental to such participation. I do hereby waive, release, absolve, indemnify and agree to hold harmless, the County of Loudoun, the Loudoun County Department of Parks, Recreation, and Community Services, and any Employees or Volunteers thereof, against any injury to person or property arising out of this registration.

By writing my full legal name, I give permission for the Loudoun County Parks, Recreation, and Community Services staff to obtain medical treatment for the above participant in the event of illness or injury if I cannot be contacted.

For further information please see the Youth in Government Day document packet above.
Student Signature
Parent/Guardian Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Unless specifically declined, by registering for or participating in a PRCS-sponsored activity, participants give permission for the Loudoun County Department of Parks, Recreation and Community Services to use photographs and videos of themselves or their children for publicity in publications and other media, including social media, without limitation in order to increase community awareness of PRCS programs and services.
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Youth In Government Day Participant & Parent Waiver 2026

Student Section

Parent/Guardian Section