2022 Middle School Overnight
Summer Leadership Conference Registration

Page 1 of 8

WAIT LIST ONLY: We have sold out our LMU OVERNIGHT Program for Summer 2022. Our DAYS ONLY Program has availability. Please go to www.tacsc.org/programs to find the registration link for the DAYS ONLY program
Register for our 2022 Middle School Overnight Summer Leadership Conference!

For this registration type, students will stay overnight on the campus of Loyola Marymount University for the duration of the Conference.

Regular Registration Fee for Four Days / Three Nights is $899.  This includes room, meals and all supplies. 

Late Registration Fee: Anyone registering less than two weeks prior to a conference will incur a $100 late registration fee ($999 total).

A $100 non-refundable deposit is required to reserve your spot for Summer Conference.  All deposits are fully refundable if any cancellation or postponement actions are necessary due to COVID-19. 

TACSC will follow all recommended COVID-19 safety precautions at the time of the event.  Stay tuned for more information as we get closer to the event dates.  All transportation will be the responsibility of the students to arrive and depart safely to and from campus.

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 three.





Registration Type

Registration Type and Fee are updated automatically for Early Bird, Regular and Late registration cycles.


$

Click Next Page to register your student.

Page 2 of 8

Delegate Registration

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.

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)

Page 3 of 8



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)






Page 4 of 8


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






Page 5 of 8


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.

Page 6 of 8

Subtotal
$
$
$

Help support TACSC

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

Page 7 of 8

Order Total
$
$
$
$
$
$

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 conference registration. Cancellations made 30 days or more prior to the first day of the conference 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 conference will result in a refund of 50% of all monies paid. Cancellations made less than 14 days prior to the first day of the conference will result in the full forfeiture of monies paid; no refund will be available. We thank you for your understanding and co-operation.

By clicking submit, you are giving TACSC permission to supervise the safety and education of your child for the duration of the TACSC Program. This is your "permission slip" many of you are familiar with from your schools.

By clicking submit, you are giving TACSC permission to take photos and video during the conference to promote TACSC programs and activities. TACSC will never post any photos or videos with name or location information. If you see a photo or video of your child that you wish removed, please contact us immediately.

By clicking submit, you authorize TACSC to provide appropriate emergency medical care based on the medical information provided on this registration form. TACSC will contact the primary contact and all emergency contacts that were provided on this form as needed.

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.