NLC Housing and Nebraska Event Form
Please note that this form will be used to generate your invoice from Nebraska FCCLA. Double check all information prior to submitting.

Invoices will be generated after submitting this form and will be emailed to the adviser. If sharing rooms invoice generation may be delayed until all details can be finalized. All payments are due by June 15th and any late payments will be charged $10 per person.

Chapter Name *
Your answer
Adviser Name *
Your answer
Adviser Cell Phone Number *
Your answer
Adviser Email Address *
Please only enter your school email if you check it during the summer.
Your answer
If the adviser is not attending, please share the contact information of the individual who is chaperoning the group or individual.
Please enter their name, cell phone number, and email address. All correspondence will also be sent to the adviser as a precaution. If the chaperone is not from the school of the student(s), an Independent Delegate Form must be completed and submitted to the State Adviser prior to June 15.
Your answer
Nebraska Sets Sail to Newport Beach - State Event
Explore the California coastline on a 2-hour cruise of the Newport Beach harbor, enjoy dinner and dancing! Space is limited at the first 200 registrations for this event! $75/person - see the NLC Adviser information for additional details.
How many tickets would you like to purchase for the Nebraska Sets Sail - State Event?
Your answer
How many members will be attending the conference? *
Members will be charged a state fee of $22 to cover their state gift (a backpack - new design) and pins (25). This is a required fee in order to attend.)
Your answer
How many adults will be attending the conference? *
Adults will be charged a state fee of $7. (This is a required fee in order to be housed in conference housing or to attend ANY Nebraska event or the conference.)
Your answer
How many additional backpacks would you like to order? The cost is $13 each. *
Please note that backpacks will NOT be ordered for adults unless requested here.
Your answer
How many additional pins would you like to order? The cost is $.55 each. *
Please note that pins will NOT be ordered for adults unless requested here.
Your answer
Planned Arrival Method *
Planned Arrival Method *
Check In Date *
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Check Out Date *
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