2023 Northern Region Leadership Conference Registration at UC Davis - December 2, 2023
This form is to register for the upcoming 2023 Northern Region UBSUC Leadership Conference. By filling out this form and registering for this Conference, the registering BSU agrees to the terms and conditions of UBSUC's Code of Conduct and the use of recordings and pictures for advertisement purposes. 

Advisors (or designee) should submit one registration per BSU. If there are changes after you have registered, please contact us at northernregionubsuc@gmail.com with the changes or any questions you may have regarding the conference. 

By submitting this form, your school BSU is responsible for the registration fees for the each submission. Registration fees should be submitted promptly, after registering, to: UBSUC, PO Box 580705, Elk Grove, CA 95758. 
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Email *
Advisor's First and Last Name *
School Name and District Name                                       Ex: Laguna Creek High in Elk Grove Unified *
Advisor's Email Address to send information *
Advisor's Cell number to text BSU information and reminders *
I have followed UBSUC NR's IG page: @northern_region_ubsuc *
What do you want to learn from or do with UBSUC?  Ex: Exposure to Colleges, Have Courageous Conversations, Learn about History, Mental Health *
Do you have any students interested in leadership that are in Grades 9. 10 or 11? If so, are they interested in running for an elected position on the Northern Region Youth Board? *
If you have any interested students that would like to run for an elected position on the Northern Region Youth Board, please insert their names, contact information, and the position they are interested in.  Positions are President, 1st Vice President, 2nd Vice President, Secretary, Treasurer, Parliamentarian, Sergeant at Arms.
Example: 
Cherie Ward, 916-555-5555, cherie@gmail.com, Secretary
 *
Registration of each Participant: 
Please insert each participant here. Include: 
1) first and last name of the attendee 
2) grade and/or position, and 
3) T-Shirt Size for each student. 
*If your student has any special accommodations, please add it after their name. 

Example: 
Josh Smith, Advisor, L
Tim Scott, 12, L, Vegetarian 
Sonya Washington, 9, M
 *
Is there anything you would like UBSUC to know?
Submit
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