Student Leadership Summer Institute 2019
Campbell High School
5265 Ward St SE, Smyrna, GA 30080
https://goo.gl/maps/NntdH1PvBSDerT9L6

July 8-11, 2019 from 8:30 AM - 3:30 PM

$100 registration fee for all 4 days, breakfast and lunch included

More information at www.cobbstudentleadershipacademy.com

Official announcement at http://academics.cobbk12.org/index.php/2019/05/16/cslasummerinstitute2019

To attend, please:
1) Complete this online registration form by answering the questions below. The deadline to register is July 3, 2019.

2) Mail a check/money order with a payment form (see http://bit.ly/csla719check) OR bring cash on the morning of July 8.

Student Information
Student's First Name *
Your answer
Student's Last Name *
Your answer
Your School *
Your answer
Grade (in 2019-20) *
Emergency Contact Information
Parent/Guardian Name *
Your answer
Parent/Guardian Phone Number *
include the area code too, for example (678) 628-0101
Your answer
Parent/Guaridan Email Address *
Your answer
Conference Information
Student t-shirt size *
Do you have any food restrictions or allergies? *
Please list your food allergies or food restrictions in the "Other" option.
Required
I understand that my parent/guardian is responsible for arranging my transportation to and from the Student Leadership Summer Institute on July 8-11, 2019 @ Campbell High School. *
How will you be paying the $100 registration fee? *
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