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    This document is a registration form for the SUMMIT student leadership conference to be held on January 25, 2017 at Lubbock Cooper High School. It provides information on registration fees for planning committee members, students, advisors, administrators, and drivers if registered by the early or late deadlines, as well as on-site registration fees without a guaranteed meal. It also lists registration details such as the contact information and instructions to mail forms and payment.

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    This document is a registration form for the SUMMIT student leadership conference to be held on January 25, 2017 at Lubbock Cooper High School. It provides information on registration fees for planning committee members, students, advisors, administrators, and drivers if registered by the early or late deadlines, as well as on-site registration fees without a guaranteed meal. It also lists registration details such as the contact information and instructions to mail forms and payment.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    7 views2 pages

    Summitregistr 17

    Uploaded by

    api-240337564
    This document is a registration form for the SUMMIT student leadership conference to be held on January 25, 2017 at Lubbock Cooper High School. It provides information on registration fees for planning committee members, students, advisors, administrators, and drivers if registered by the early or late deadlines, as well as on-site registration fees without a guaranteed meal. It also lists registration details such as the contact information and instructions to mail forms and payment.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 2

    SUMMIT

    Student Uniting to Make Meaningful Influences Together


    Lubbock Cooper High School January 25, 2017
    Registration Form (Due by Jan. 13, 2017)
    School
    Advisor Attending
    School Address
    City

    State

    Zip

    Phone Number
    Email Address
    Number of Planning Committee Members

    @$25.00 ea. Total

    Number of Students (9-12 grades only)

    @$25.00ea. Total

    Number of Advisors

    @$25.00ea. Total

    Number of Administrators

    @$25.00ea.

    Number of Drivers eating lunch

    @$25.00 ea. Total

    Total

    Total registration fees submitted

    Late Registration (Due by Jan. 20, 2017)


    Number of Planning Committee Members

    @$30.00 ea.

    Total

    Number of Students (9-12 grades only)

    @$30.00ea.

    Total

    Number of Advisors

    @$30.00ea.

    Total

    Number of Administrators

    @$30.00ea.

    Total

    Number of Drivers eating lunch

    @$30.00 ea.

    Total

    Total registration fees submitted

    $_

    On-Site Registration (Meal NOT Included)


    Number of Students (9-12 grades only)

    @$35.00ea.

    Total

    Number of Advisors, Administrators

    @$35.00ea.

    Total

    Total registration fees submitted

    $__

    Meal tickets will be issued for anyone registered by Jan. 13, 2017.
    Register & pick up packets beginning at 8:ooa.m. SUMMIT will begin at 9:00 a.m.
    ***Make checks payable to SUMMIT, Inc.
    Please mail forms & checks to: SUMMIT Registration
    Nancy Patterson
    C/o Seminole High School
    2100 NW Ave D
    Seminole, TX 79360

    Email: npatterson@seminoleisd.net

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