2019 Student Leadership Day Registration (Schools)

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TO BE COMPLETED BY AN AUTHORIZED REPRESENTATIVE OF THE SCHOOL

Please complete the form to register your students for a Student Leadership Day. This form can register from 1-100 students. Payment can be made via credit card during the final step. 

If the school is paying by check, students are not guaranteed spots until we have received a check.  Please mail ASAP to:

TACSC Office
6550 Waverly Road
Martinez, CA  94553

The fee for Student Leadership Day is $25 per student for Early Bird Registration November 1 - December 31, 2018. The fee is $30 per student for Regular Registration after January 1, 2019.
  • 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
  • TACSC will provide lunch to each student (2 pieces of cheese pizza, water, fruit, cookie)
  • Students are asked to 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.


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 school submitting this Registration form

School Submitting Registration
Please first select the State of your school, and then select the SchoolSchools are listed in alphabetical order, with their Cities.

If your school is not listed, select Not Listed, and then check the box My school is not listed to provide the details of your school.



School Primary Contact







Click Next Page to register delegate(s) from your school.

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Complete the information below for your students. To add multiple students, click on the link "Click here to add another Delegate" for each new entry. This form can be used to submit up to 100 individual students.

Delegate Registration





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 the school is 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.