CLUB REGISTRATION PACKET
MODEL UNITED NATIONS PACKET DUE January 16, 2019
Student Fee- $215 each
Advisors Fee: $215 (per room)
Email to
or mail to
Louisiana Youth & Government P.O. Box 66212 Baton Rouge, LA 70806
CLUB/SCHOOL:______
SPONSOR: ______
Sponsor’s Cell Phone #______Sponsor’s email:______
Total Number of Students: ______Total Number of Advisors: ______
Advisor Names: ______
Total Amount Being Mailed: ______
Total T-Shirt:
Youth Sizes: S___M___ L___
Adult Sizes: S__M___ L___ XL___XXL___
Please send the following with this registration form. All are attached below.
- Required: Country Assignments
- Total Number of Countries: ______
- Required: Rooming List
oOptional: Cultural Showcase Commitment
- Optional: Club Devotion Application
- Optional: Club t-shirt contest entry form
Please submit all Country Data Sheets & Position statements on by January 18th. The required template is available online. Further instructions will be sent to club advisors.
Please bring all Code of Conduct Forms with you to conference registration. Code of Conduct Forms are available online at the MUN page.
Country Assignments
Delegation Council Representative ______
One delegate from each club will serve on the Delegation Council. This individual will serve as the liaison between your club and the conference staff to discuss conference issues, ideas and experience. The council will also have their own Q&A session with the candidates running for Secretary General. After this session, the Delegation Council Representative will submit a vote for Secretary General on behalf of their club. The Delegation Council vote will account for 15% of the final vote of theSecretary General election.
Country Name: ______(Please list student participants)
GA Delegate 1: ______
GA Delegate 2: ______
Eco/Soc Delegate 1: ______
Eco/Soc Delegate 2: ______
Security Delegate 1: ______
Security Delegate 2: ______
Country Name: ______(Please list student participants)
GA Delegate 1: ______
GA Delegate 2: ______
Eco/Soc Delegate 1: ______
Eco/Soc Delegate 2: ______
Country Name: ______(Please list student participants)
GA Delegate 1: ______
GA Delegate 2: ______
Eco/Soc Delegate 1: ______
Eco/Soc Delegate 2: ______
Country Name: ______(Please list student participants)
GA Delegate 1: ______
GA Delegate 2: ______
Eco/Soc Delegate 1: ______
Eco/Soc Delegate 2: ______
Country Name: ______(Please list student participants)
GA Delegate 1: ______
GA Delegate 2: ______
Eco/Soc Delegate 1: ______
Eco/Soc Delegate 2: ______
______
Country Name: ______(Please list student participants)
GA Delegate 1: ______
GA Delegate 2: ______
Country Name: ______(Please list student participants)
GA Delegate 1: ______
GA Delegate 2: ______
Country Name: ______(Please list student participants)
GA Delegate 1: ______
GA Delegate 2: ______
Country Name: ______(Please list student participants)
GA Delegate 1: ______
GA Delegate 2: ______
Country Name: ______(Please list student participants)
GA Delegate 1: ______
GA Delegate 2: ______
ROOMING LIST
Do not include State Board Members on your rooming list!
CHAPERONE ROOMS:
MALEFEMALE
#1 ______#1 ______
______
#2 ______#2 ______
______
DELEGATE ROOMS (4 to a room)
MALEFEMALE
#1 ______#1 ______
______
______
______
#2 ______#2 ______
______
______
______
#3 ______#3 ______
______
______
______
Cultural Showcase Commitment
The following countries are REQUIRED to submit a Cultural Showcase Commitment: United States, United Kingdom, Germany, France, Russia
Country Representing: ______
Delegates Representing the Country: ______
Delegate Email contact for Country Representative: ______
Brief Description of Activity (Skit/Dance/Song/etc.) skit
Length of Time (5 min. maximum) ______
Showcases that involve food or beverages will not be allowed (i.e. eating contests).
Advisor’s Approval ______
Devotion Application
What ideas do you have for a devotion (maximum 5 minutes) that will be both a calm ending to the day and leave an impression on the delegates at Model UN?
______
______
Delegates (including contact information) Participating in the Devotion:
______
Name Cell #email address
______
Name Cell #email address
______
Name Cell #email address
______
Name Cell #email address
______
Name Cell #email address
______
Name Cell #email address
______
Name Cell #email address
______
Name Cell #email address
______
Name Cell #email address
Club T-shirt Contest Entry Form
Judging of club t-shirts will take place during the dance. All clubs that are participating are encouraged to wear club shirts, conference shirts or cultural dress to the dance.
Club Name: ______
Our club will be entering a t-shirt in the contest:
_____YES _____ NO