2018 Student Leadership Day Registration Form (Parents)

Page 1 of 2


TO BE COMPLETED BY THE PARENT OF THE STUDENTS ON THIS FORM

Please complete the form to register your student(s) for a Student Leadership Day. This form can register multiple siblings. Payment can be made via credit card during the final step. 

If you are paying by check, students are not guaranteed spots until we have received your check.  

Please mail ASAP to:

TACSC Office
6550 Waverly Road
Martinez, CA  94553

The fee for Student Leadership Day is $25 per student.
  • The day begins at 9:00am and dismissal is at 2:00pm
  • 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 and wear their school uniform
  • All transportation to and from Student Leadership Day is the responsibility of the school 

If a location is listed as SOLD OUT, please contact the TACSC Office regarding waiting lists.




Please provide information for the parent submitting this Registration form

Parent Contact Information










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.










Click Next Page to register your student.

Page 2 of 2


Complete the information below for your student(s). To add multiple students, go to the link "Click here to add another Delegate" for each new entry. You may use the same form for multiple students from the same family.

Delegate Registration




Click here to add another Delegate

The Registration Total will update if you add additional Delegates.

Order Total
$
(sum of all Delegate Registration Fees)
PHOTO RELEASE
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.

PAYMENT OPTIONS
After you submit, you will be taken to PayPal for payment via credit card for the total for this form. All registrations will be valid after payment.

If you are paying by check, it must be received in the TACSC Office for registrations to be valid. 


Please mail to:

TACSC Office
6550 Waverly Road
Martinez, CA  94553

Your registration is not complete until you have submitted payment. All checks must be received in the TACSC Office before the date of the event.

Need assistance with this form?