2019 New High School Summer Seminar Registration

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Reserve your spot at our 2019 New High School Summer Seminar!

Regular Registration Fee for 5-days/4-nights is $325. This includes room, meals and all supplies.

A $100 non-refundable deposit is required to reserve your spot for summer conference.

NOTE: After you submit this registration form, you will be emailed with a confirmation of this registration and a unique Registration Number (SLC#####). Please keep this registration number for future reference.

Select the Conference Date


Please provide information for the parent submitting this Registration form

Contact Information

The following contact information is requested to follow up on registration payments if needed.
If you are a Parent, additional contact information will be requested on page 3.





Registration Information


$

Click Next Page to register your student.

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Delegate Registration

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

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

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

Find Student's School










Do NOT enter the same email address as the parent(s). Please enter a separate email for the student or leave blank.

(To be used during conference only)






(leadership, sports, youth group, honor club)

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Depending on your selections, contact information boxes will appear below.

Contact Information for Mother or Father if needed
Mother's Contact Information



(for emergency contact during conference)






Father's Contact Information



(for emergency contact during conference)






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Please provide the student's medical information.

Medical Form Information

Write "N/A" if none

If so, please list medication, frequency, and dosage. Write "N/A" if none






Please provide two contacts for the student in the case of an emergency during the conference.

Contact Information Available For...




Additional Emergency Contacts
Enter up to two (2) additional Emergency Contacts






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Please provide any scholarship information for the student. If there are multiple scholarships, please enter all names where requested and the sum of all scholarships as the amount.
Scholarships


$
Please enter a value greater than or equal to 0.

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Subtotal
$
$
$

Help support TACSC

Can you help support TACSC and its mission to spread leadership to young students through scholarships and additional funding?
$

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Order Total
$
$
$
$
$

To Pay Immediately:

After clicking on Submit, you will need to pay for the following items immediately, if applicable:
  • Donation
$

In addition, you will need to pay at least $100 towards the cost of the registration.
$
$

The total amount to be paid later is calculated as follows: TOTAL minus Total Charges Due Today
$

A $100 non-refundable deposit is required at the time of seminar registration. Cancellations made 30 days or more prior to the first day of the seminar will result in a refund of all monies paid except the referenced $100 deposit. Cancellations made between 14 and 30 days prior to the first day of the seminar will result in a refund of 50% of all monies paid. Cancellations made less than 14 days prior to the first day of the seminar will result in the full forfeiture of monies paid; no refund will be available. We thank you for your understanding and co-operation.

After you click SUBMIT, you will be taken to PayPal to submit payment for this registration
Your registration is not complete until you have submitted payment.

You will receive a confirmation email with details of this registration and a unique Registration Number (SLC#####). Please keep this registration number for future reference.