2022 SRMC Registration Form
Atlanta will be hosting the 2022 SRMC Oct 21 -Oct. 23 2022
The site for this year is Fortson 4-H Center,  999 Fortson Rd, Hampton, GA  30228
To secure the site we need to know the number of attendees from each Chapter.
Registration fees vary by registration date.
  • $175 if registered by 8/31/2022
  • $190 if registered by 9/16/2022
  • $200 if registered by 9/30/2022

For onsite chaperone please use:
Michelle Lawson
910-367-3841
Sign in to Google to save your progress. Learn more
Email *
Chapter *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of CISV USA. Report Abuse