CCA Leadership Summit Registration

Welcome! Please register below so we can plan lunch, seating, and room space for the CCA Leadership Summit. Saturday, October 17, 2026, at Grace Polaris Church – 8225 Worthington Galena Rd, Westerville, OH 43081. One registration per club is fine — just list everyone who's coming.

Question Title

1. Which club/chapter are you registering for? (Required.)

Question Title

2. If you selected "Other / not listed" above, please write your club/chapter name here

Question Title

3. Your name (the person completing this registration) (Required.)

Question Title

4. Email address (Required.)

Question Title

5. Total number of people attending from your club (include leaders, parents, and students) (Required.)

Question Title

6. Please list the full name and role (e.g., club leader, parent, student) of everyone attending from your club, one per line (Required.)

Question Title

7. Dietary restrictions or food allergies we should know about (please include the person's name). Write "None" if not applicable. (Required.)

CCA Leadership Summit Registration

Question Title

* 1. Which club/chapter are you registering for? (Required.)

Question Title

* 2. If you selected "Other / not listed" above, please write your club/chapter name here

Question Title

* 3. Your name (the person completing this registration) (Required.)

Question Title

* 4. Email address (Required.)

Question Title

* 5. Total number of people attending from your club (include leaders, parents, and students) (Required.)

Question Title

* 6. Please list the full name and role (e.g., club leader, parent, student) of everyone attending from your club, one per line (Required.)

Question Title

* 7. Dietary restrictions or food allergies we should know about (please include the person's name). Write "None" if not applicable. (Required.)

1. Which club/chapter are you registering for? (Required.)

2. If you selected "Other / not listed" above, please write your club/chapter name here

3. Your name (the person completing this registration) (Required.)

4. Email address (Required.)

5. Total number of people attending from your club (include leaders, parents, and students) (Required.)

6. Please list the full name and role (e.g., club leader, parent, student) of everyone attending from your club, one per line (Required.)

7. Dietary restrictions or food allergies we should know about (please include the person's name). Write "None" if not applicable. (Required.)