2017 Student Leadership Day Registration (Parents) MC modified

2017 Student Leadership Day Registration (Parents) MC modified

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Please complete the form to register your child/student. Payment should be made via credit card during the final step. No registration is guaranteed without full payment.

If you are registering multiple students, they must all be from the same school. If the students are from different schools, you must complete a separate form for each school.

The fee for Student Leadership Day is $25 per student.

Each student will receive a pen, folder, and nametag
TACSC will provide a snack (water and fruit/granola bar) during break
Students are asked to bring their own lunch
All transportation to and from Student Leadership Day is the responsibility of the school or parent

NOTE: You will have a chance to view a summary of this registration when you submit. Please PRINT that summary for your records!

Please provide information for the parent submitting this Registration form

Parent Contact Information

Salutation

First Name

Last Name

Phone No.

Email Address

Street Address

City

State

ZIP Code

Your student's school is REQUIRED information.

Student's School

Please select the State of your student's School, and then the School.

If your student's School is NOT listed, check on the box below to enter the school's information.

Note: Schools are listed in alphabetical order, with their Cities.

Search for student's School

State of Student's School

Select your student's School

ONLY check this box if

School is not listed

Enter all information for the School

Name of School

School's City

School's State

Click Next Page to register your student.

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Complete the information below for your delegate(s). To add multiple delegates, click on the link "Click here to add another Delegate" for each new entry.


Delegate Registration	Delegate First Name Delegate Last Name	Delegate Email Address Delegate Current Grade

The Registration Total will update if you add additional Delegates.

Order Total

Registration Total:

$

(sum of all Delegate Registration Fees)

By clicking on SUBMIT, you understand that photos/video may be taken of the students participating in activities, and may be used on the TACSC website or media pages. No names will be used without permission. Please contact the TACSC Office with any questions or concerns.

After you click SUBMIT below, you will be taken to a summary page that you can print for your records.

After you click CONFIRM on the summary page, you will be taken to PayPal to submit payment for this registration.

Your registration is not complete until you have submitted payment.

Need assistance with this form?