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.
Email address *
First Name *
Your answer
Last Name *
Your answer
FFA Chapter (Ex: Aledo FFA) *
Your answer
Gender (for rooming purposes) *
What Area Association do you represent? *
What officer position do you hold? *
Mailing Address (Ex: 614 E. 12th Street) *
Your answer
City (Ex: Austin) *
Your answer
Zip Code (Ex: 78701) *
Your answer
Cell Phone Number (Ex: 512-480-8045) *
Your answer
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).
Your answer
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).
Your answer
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).
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Relationship (Ex: Mother) *
Your answer
Emergency Contact Phone Number (Primary - Ex: 512-246-2826) *
Your answer
Emergency Contact Phone Number (Secondary - Ex: 512-480-8045)
Your answer
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