Peer Education Conference Registration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

February 23- "Say Yes to FCS" Pre-Conference Say Yes to FCS Knowledge Survivor Event $10.00/member
February 24- Peer Education Conference $25.00/member

Holiday Inn, Kearney, NE

Hotel reservations may be made by contacting the Holiday Inn in Kearney, NE at 308-237-5971. Mention the FCCLA Peer Education Conference when you make your reservations.

This registration is for all students, advisers, chaperones, or others attending the Peer Education Conference.

PLEASE MAIL YOUR PAYMENT AS INSTRUCTED ON THE INVOICE EMAILED TO YOU BY TERRI BEHL. IF YOU HAVE QUESTIONS REGARDING YOUR REGISTRATION AND/OR PAYMENT PLEASE EMAIL OR CALL TERRI AT 402-471-4815.

Email *

Chapter Name *

Chapter Adviser *

Phone *

Please list a number that you can be reached in case of a cancellation due to weather.

I understand that the Nebraska FCCLA Dress Code will apply to this event and will see to it that my students are dressed according to the standard that has been set by the Nebraska FCCLA Board of Directors and those organizing the conference. *

Yes, I understand.

Select the number of your SPOT/SOT member here. *

If you have a member of the SPOT or SOT, please do not include them in any of your total counts

# Attending FCCLA Knowledge Survivor Preconference *

$10 Each - Advisers are not required to register

# Attending Peer Education Conference *

$25 Each - Advisers ARE required to register

Total Amount Due to Nebraska FCCLA *

Do not include SOT or SPOT in your total amount due

I understand that payment needs to be sent to Grafton and Associates prior to attending. No payments can be accepted day of event. * *

Yes, I understand.

Please mail a copy of your registration invoice and payment to:

Grafton and Associates, P.C.
Attn: Denise Winters
5935 South 56th, Suite A
Lincoln, NE 68516

Make all checks payable to Nebraska FCCLA
CODE: 4220-08

The 2019-20 SPOT Outreach Project is "Live Like Lisa" in honor of former SPOT Adviser and Boone Central Chapter Adviser, Lisa Groth. Chapters are encouraged to participate in this act of kindness campaign and share your contributions here: https://forms.gle/r9XX9sPQNs97AEP16 *

Yes, My chapter will complete the Google form to nominate someone for recognition.

No, My chapter did not participate.

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms