LEADCon Registration
Event Timing: September 25, 2021; Check in at 9-9:30AM; Event Activities from 9:30AM-3:30PM
Event Address: Fondulac Park District Facilities in East Peoria - 201 Veterans Dr. East Peoria, IL 61611

Contact us at kelleen@illinoisthespians.org or jsmith@illinoisthespians.org

Additional Information: Please use this form to register you, additional chaperones, your troupe/school, and the number of delegates that will attend.

PLEASE NOTE: ALL CONSENT/MEDICAL RELEASE FORMS must be submitted on or before 09/24/21 to be considered registered for this event. Registration fees ($15 per person) may be submitted by check before or on the day of the event.
MAIL FORMS/CHECKS TO: ILLINOIS THESPIANS ATTN: JIM SMITH, 7500 W. MONTROSE AVE., NORRIDGE, IL 60706.

Consent/Medical forms can be found here:

https://drive.google.com/file/d/1aMEl0i-kXplOh_iOk24HoK7FiK1879qe/view?usp=sharing
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Troupe Sponsor or Main Chaperone Name *
Full School Name *
Thespian Troupe # (if applicable)
Email *
Cell Phone *
Principal's Full Name *
Are there additional adult chaperones attending? *
If yes, how many additional adult chaperones? NOTE: It is recommended that 1:10 chaperone to student ratio is maintained.
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How many student delegates will attend? *
Have all student delegates and adult chaperones completed the consent & medical release forms? *
If you have completed ALL Medical Release forms, you may either mail them, bring them to the event, or digitally share a Google Drive folder with all completed forms by providing a shareable URL:
Payment: How would you like to pay your registration fee? *
I understand that I will have to pay the full amount of the registration fees on/before arrival *
Required
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