IGNITE Campus Convention 2025 Registration

First name*

Last name*

Pronouns*

Email*

Phone number

City*

State/Territory*

Postal code*

Birthday*

Month/Day/Year

Please complete this Release of Liability form and attach a copy here.*

If you will be a minor at the time of the event you must have a parent or guardian sign the form.

Are you a member of an IGNITE Chapter/Club?*

Yes

No

Are you a college student?*

Yes

No

Are you a high school student?*

Yes

No

What types of political leadership interests you? (Select all that apply)*

Do you plan to run for office?*

Please describe any accessibility needs.

How did you hear about this event?

Are you interested in starting or joining and IGNITE chapter/club?

I authorize IGNITE to take photos or videos of me at the event to be used for marketing purposes as explained in this form.*

Yes

No

I am under 18

By selecting checking this box, you agree to receive periodic text messages from IGNITE. You can opt out of text messages at any time.

By submitting this form I agree to receive periodic emails from IGNITE. I understand that I can unsubscribe from IGNITE emails at any time.