2018 Northern Region Leadership Conference Registration
PO Box 233818, Sacramento, CA 95823
PLEASE READ AND CHECK THE BOXES THAT APPLY
I understand that I am registering my club for the Northern Region Roundtable at Santa Cruz on February 2, 2019 OR American River College on February 9, 2019.
I understand that my club is responsible for the number of registered participants on this form, and that registration fees are non-refundable
I understand the UBSUC is not responsible for transportation to/from this Roundtable
I understand and agree that participants may be photographed or filmed for the use of UBSUC promotional materials
I understand that all participants will dress appropriately for this Roundtable: Business Attire
I understand that all participants are required to abide by school and UBSUC rules at all times during this event
I understand that Advisors are responsible for the students attending the Roundtable on behalf of their club
I am registering for the following Roundtable
American River College on February 9, 2019
Advisor's Cell Phone Number
Advisor's E-Mail Address
List Your Club's Leadership Positions and Name of the Student in the position (ex: Kishaun Thorntona, President, Dechelle Rasheed, Treasurer)
Do you have any students running for a Northern Region youth board position at this Roundtable? If so, please list the names of the students and the position they are running for. Make sure interested students fill out the Petition on our website at
(Ex: Kishaun Thorntona, President; Dechelle Rasheed, Treasurer)
List all participants who are attending this conference? Include their First and Last Names, and Grade (ex: Kishaun Thorntona, Advisor ; Student First Name Last Name, 12
Will your club be paying CLUB FEES by school check or PayPal? (Your payment is due upon registration.)
School Check to be mailed to: UBSUC NR, PO Box 233818, Sacramento, CA 95823
) Small fee will be assessed.
Payment already provided.
How did you hear about this event?
What are some of your students' interests? This will help us better prepare and plan for your students at the Conference and Convention.
What are some of the challenges you have with your BSU this year?
What are some of the best practices your BSU uses that other BSUs may benefit from? (Fundraising, events, recruitment, leadership opportunities, community service, etc)
Comments for UBSUC
Send me a copy of my responses.
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