CJH 2018 SLC Final Registration Roster
This form is due by 2 PM on the Monday prior to your week of camp. Complete separate forms for each individual chapter.
If you need a copy of this form, remember to print this page using your browser before clicking "Submit."

***Check in begins at 10am on May 28th, 2018 and will be open until 12pm.

Week Attending *
Advisor Name *
Your answer
Chapter *
Your answer
FFA or FCCLA *
Is your chapter interested in leading a flag raising one morning?
If you check YES, we will let you know at check-in if your chapter is needed.
Special Needs
ex. food allergies, vegetarian needs, handicap accessibility, other chapter you need to room with due to chaperone arrangements (Note: we must receive rooming requests at least one week prior to camp. We do not guarantee all rooming requests.)
Your answer
Total number of people attending with your chapter *
Include EVERYONE coming with your chapter: students, advisors, children, and chaperones
Your answer
Rosters
Provide the names of everyone attending. Please hit ENTER after each name. Example:
Student One
Student Two
Student Three
Number of Male Students
By registering these students, you are certifying that these are dues-paid members of FFA or FCCLA, and that you are bringing or have arranged supervision for them.
Your answer
List the names of all Male Students
Please enter each name on a new line (hit ENTER after each name)
Your answer
Number of Female Students
By registering these students, you are certifying that these are dues-paid members of FFA or FCCLA, and that you are bringing or have arranged supervision for them.
Your answer
List the names of all Female Students
Please enter each name on a new line (hit ENTER after each name)
Your answer
Number of Male Adults
Include advisors, chaperones, and any other adults attending.
Your answer
List the names of all Male Adults
Please enter each name on a new line (hit ENTER after each name). Please indicate ADVISOR or CHAPERONE for each.
Your answer
Number of Female Adults
Include advisors, chaperones, and any other adults attending.
Your answer
List the names of all Female Adults
Please enter each name on a new line (hit ENTER after each name). Please indicate ADVISOR or CHAPERONE for each.
Your answer
Number of Male Children
Use this section for advisor's children who are not FFA or FCCLA members.
Your answer
List the names of all Male Children
Please enter each name on a new line (hit ENTER after each name) Also indicate age
Your answer
Number of Female Children
Use this section for advisor's children who are not FFA or FCCLA members.
Your answer
List the names of all Female Children
Please enter each name on a new line (hit ENTER after each name) Also indicate age
Your answer
T-Shirt Order
Please indicate how many of each size you need. Make sure you have one shirt per person (including students, advisors, chaperones, and children)
YS
Your answer
YM
Your answer
YL
Your answer
S
Your answer
M
Your answer
L
Your answer
XL
Your answer
XXL
Your answer
XXXL
Your answer
XXXXL
Your answer
Any special notes about shirts
Your answer
Emergency Contact Numbers
We need the Cell Phone number for each adult attending. We use this during camp for emergency contacts. For example, so that our medical staff can reach you about an injured student.
Adult #1 Name
Your answer
Adult #1 Cell Number
No spaces or dashes. Example: 5555555555
Your answer
Adult #2 Name
Your answer
Adult #2 Cell Number
No spaces or dashes. Example: 5555555555
Your answer
Adult #3 Name
Your answer
Adult #3 Cell Number
No spaces or dashes. Example: 5555555555
Your answer
Adult #4 Name
Your answer
Adult #4 Cell Number
No spaces or dashes. Example: 5555555555
Your answer
Submit Your Form
Please check the form for accuracy.
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