2019 State Leadership Conference Registration
Please answer the questions below to register for the 2019 State Leadership Conference, June 1-4, 2018 at Angelo State University. The State Leadership Conference equips area level students officers with the skills and resources necessary to effectively serve their area associations. Attendance at the State Leadership Conference is MANDATORY.

Registration fees are $75/attendee. A schedule and additional information will be provided as we near the event. This form should be completed NO LATER than WEDNESDAY, MAY 22, 2019.
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
FFA Chapter (Ex: Aledo FFA) *
Gender (for rooming purposes) *
What Area Association do you represent? *
What officer position do you hold? *
Mailing Address (Ex: 614 E. 12th Street) *
City (Ex: Austin) *
Zip Code (Ex: 78701) *
Cell Phone Number (Ex: 512-480-8045) *
T-Shirt Size (The shirt size you indicate will be the size that you receive at SLC. There will be no extra sizes ordered to switch) *
Do you have any food allergies? *
If you answered "yes" to having food allergies, please describe them (if you answered "no" to having food allergies, please leave this question blank).
Do you have any known medical conditions or disabilities? *
If you answered "yes" to having a known medical condition or disability, please describe them (if you answered "no" to having medial conditions or disabilities, please leave this question blank).
Are you currently taking any medications? *
If you answered "yes" to taking current medications, please list them below (if you answered "no" to taking medication, please leave this question blank).
Emergency Contact Name *
Emergency Contact Relationship (Ex: Mother) *
Emergency Contact Phone Number (Primary - Ex: 512-246-2826) *
Emergency Contact Phone Number (Secondary - Ex: 512-480-8045)
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Texas FFA Association. Report Abuse
Google Forms