Question Title

* 1. Please complete the contact information below:

Question Title

* 2. School Name:

Question Title

* 3. Number of years as an FCCLA Adviser:

Question Title

* 4. Emergency Contact's Name:

Question Title

* 5. Emergency Contact's Cell Phone Number:

Question Title

* 6. Registration choice (cost per person - all meals and sleeping room included):

Question Title

* 7. I would like for my roommate(s) to be:

Question Title

* 8. T-shirt size:

Question Title

* 9. List any food allergies or special food requirements that you have:
If none, put NA in the box.

Question Title

* 10. The following students from my school/chapter will be attending with me:
 If you have more than 8 students, please email Marta Lockwood with the
 names of your additional students.

You should receive an email with an invoice for your registration fees, and additional information for the Leadership Camp after the May 15th deadline. 
Please note that your registration will be final after the May 15th deadline and NO REFUNDS will be allowed.  Payment will be required whether you attend or not. 

Payments in the form of a check or money order, may be mailed in advance to Illinois Association of FCCLA, 8 South Washington Street, Suite 105, Sullivan, IL  61951 or presented at the Leadership Academy Registration Desk on July 7th.

Questions or concerns that you might have should be emailed to:  ilfccla@gmail.com  with "Summer Leadership Camp" in the subject line.

T