2023 Student Leadership Day Registration for Parents

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TO BE COMPLETED BY A PARENT OR GUARDIAN

Please complete the form to register your students for one of the events listed below.  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, please complete a separate form for each school.

Student Leadership Days are open to fifth, sixth, seventh and eighth graders. All events will be held from 9 a.m. to 2 p.m. 


The regular registration is $30. Earlybird registration ended December 31
.  If a location is listed as sold out, please contact us at 925.954.7048 regarding wait lists.


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



Please provide information for the parent submitting this registration form:
Parent Contact Information










Your student's school is required information.
Student's School

Please first select the State of your student's 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 student's school.






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





The Registration Total will update if you add additional Delegates.

Order Total
$
(sum of all Delegate Registration Fees)


PHOTO RELEASE

By clicking submit, you understand that photos / video may be taken of the students participating in activities, and may be used for TACSC marketing purposes.  No names will be used without permission. Please contact us with any questions or concerns.

 

All students are responsible for transportation to and from the event.

 

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 by TACSC for registrations to be valid. Please mail to:

 

TACSC 

6550 Waverly Road

Martinez, CA  94553

 

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