2019 Principal Leadership Symposium Attendee Registration Form (Responses)
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TimestampDistrict NameCampus NameAdministrative Assistant's NameAdministrative Assistant's Email AddressNameRoleEmail AddressCell Phone NumberWill you bring a guest(s) with you?Name of Spouse / Adult GuestNumber of children <18 years attending.Please list the FIRST and Last name of each child attending with you and their AGE at the time of the conference. EX: Mary Smith - 5, James Smith - 12, Jane Smith - 17Will you and all of your guests be participating in the same activity on Tuesday?Will you or anyone from your party participate in golf on Tuesday?Please list each member of your family that will be playing golf, their email, and their average score. Please follow the example below. Will you or anyone from your party participate in bay fishing on Tuesday?Please provide the NAME, AGE and PARTICIPATION level of each participant. Please model the example below.Fishing license with a salt water tag is required for each person planning to fish.Will you or anyone from your party participate in Space Center Houston on Tuesday?Number of tickets needed:List names of ALL participants and ages of children 18 and under.Will you or anyone from your party participate in Kemah Boardwalk on Tuesday?Number of tickets needed:List names of ALL participants and AGES of all children less than 18 yrs.Will you or anyone from your party participate in Pleasure Pier on Tuesday?Number of tickets needed:List names of ALL participants and AGES of all children less than 18 yr.How many spa tickets will your family need?Name of participant 1Is participant 1 over the age of 18?Service choice for participant 1Cancellation Policy - We ask that you formally cancel your appointment if you are unable to attend. Appointment slots are limited for our 3 day event and there will be a waiting list of people wishing to participate. Name of participant 1Is participant 1 over the age of 18?Service choice for participant 1Name of participant 2Is participant 2 over the age of 18?Service choice for participant 2Cancellation Policy - We ask that you formally cancel your appointment if you are unable to attend. Appointment slots are limited for our 3 day event and there will be a waiting list of people wishing to participate. Will you be attending the opening luncheon.Will you and your guests be attending?How many in your party including yourself?Your NameGuest 1 NameGuest 1 AgeGuest 2 NameGuest 2 AgeGuest 3 NameGuest 3 AgeGuest 4 NameGuest 4 AgeGuest 5 NameGuest 5 AgePlease list the names and ages of each guest.Will you attend the campus staff breakfast Wednesday morning?
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2/13/2019 15:03:20
Coldspring/Oakhurst ISD
Lincoln Junior HighRashonda Portillarportilla@cocisd.orgFrank BrownPrincipalfbrown@cocisd.org832-851-7565YesAli Brown4
London Nellums, Courtney Gordon, Corie Moore, Milton Moore
Yes we will all participate in the same activity.
NoNoNoNoYes6
Courtney Gordon15, Corie Moore17, Milton Moore14, London Nellum6, Julius Brown10, Mark Brown15
2Frank BrownYes
Mini Bella Body Massage
Ali BrownYesBella Vita Manicure
I understand that once I schedule my appointment with the spa that I will need to cancel if I am unable to attend.
YesYes2Frank BrownAli BrownAdultN/ANo GuestN/ANo GuestN/ANo GuestN/ANo GuestYes
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2/22/2019 10:01:43Navasota ISDBrule ElementaryPatsy Downs
downs@navasotaisd.org
Amy BayPrincipalbaya@navasotaisd.org9368708158No
No, we will split up and participate in different activities.
NoNoNoYes1Amy BayNo1Amy BayYes
Mini Bella Body Massage
I understand that once I schedule my appointment with the spa that I will need to cancel if I am unable to attend.
YesYes1Amy BayN/ANo GuestN/ANo GuestN/ANo GuestN/ANo GuestN/ANo GuestYes
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2/22/2019 10:08:31Grapeland ISDGrapeland ElementaryDelmy Lopez
dlopez@grapelandisd.net
Cassie SatterwhitePrincipal
csatterwhite@grapelandisd.net
9037248862YesLance Satterwhite2
Trip Satterwhite-5, Sadie Satterwhite- 1
Yes we will all participate in the same activity.
NoNoYes3
Cassie Satterwhite, Lance Satterwhite, Trip - 5, and Sadie - 1
Yes3
Lance, Cassie, Trip-5, and Sadie-1
No0YesYes4Cassie SatterwhiteLance SatterwhiteAdultTrip Satterwhite5 yrSadie Satterwhtie1 yrN/ANo GuestN/ANo GuestNo
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2/22/2019 16:13:49Navasota ISDBruleDaisy Mora
morad@navasotaisd.org
Vanikin LeggettAssistant Principal
leggettv@navasotaisd.org
9366622342YesWarren Legget2
Aaliyah Leggett-10 Chloe Herndon-3
No, we will split up and participate in different activities.
NoNoYes3
Warren Leggett, Aaliyah Leggett-10, Chloe Herndon-3
NoNo1Vanikin LeggettYes
Mini Bella Body Massage
I understand that once I schedule my appointment with the spa that I will need to cancel if I am unable to attend.
YesYes4Vanikin LeggettWarren LeggettAdultAaliyah Leggett10 yrChloe Herndon3 yrn/aNo Guestn/aNo GuestYes
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2/27/2019 10:26:19Onalaska ISDOnalaska ISDAshley Maichetti
amaichetti@onalaskaisd.net
Future Superintendent TBD
District Leadership
amaichetti@onalaskaisd.net
9362230578YesTBD0
This position is not filled currently.
Yes we will all participate in the same activity.
Yes
TBD amaichetti@onalaskaisd.net
YesTBD Adult Fishing
I understand all participants fishing will need to have a fishing license with a salt water tag and may purchase at the Pier before departure.
NoYes4TBDNo2TBDYesBella Vita PedicureTBDYes
Mini Bella Body Massage
I understand that once I schedule my appointment with the spa that I will need to cancel if I am unable to attend.
YesYes4TBDTBDAdultTBDAdultTBD3 yrTBD12 yrTBD6 yrYes
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2/27/2019 10:34:16Onalaska ISDOnalaska ISDStephanie Schubert
sschubert@onalaskaisd.net
Robyn ThorntonDistrict Leadership
rthornton@onalaskaisd.net
936.334.3515Yes
Duwayne Thornton/Kora Thornton
1Grant Thornton - 14
Yes we will all participate in the same activity.
NoNoNoNoYes3
Duwayne, Kora, Robyn, Grant
0YesYes4Robyn ThorntonDuwayne ThorntonAdultKora ThorntonAdultGrant Thornton14 yrN/ANo GuestN/ANo GuestYes
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2/27/2019 11:27:27Onalaska ISD
Onalaska Elementary and Junior/Senior High
Stephanie Schubert
sschubert@onalaskaisd.net
Lisa SmithDistrict Leadership
lsmith@onalaskaisd.net
9363281509YesBrandon Smith2
Lane Smith - 17, Brady Smith - 14
Yes we will all participate in the same activity.
NoNoNoNoYes4
Brandon Smith, Lisa Smith, Lane Smith-17, Brady Smith-14
0YesYes4Lisa SmithBrandon SmithAdultLane Smith17 yrBrady Smith14 yrN/ANo GuestN/ANo GuestYes
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2/27/2019 11:28:10Onalaska ISDOnalaska ElementaryStephanie Schubert
sschubert@onalaskaisd.net
Pat PassOther
ppass@onalaskaisd.net
936 933-3310YesRob Pass0No children attending
No, we will split up and participate in different activities.
NoNoNoNoYes2Pat, Rob0YesYes2Pat PassRob PassAdultN/ANo GuestN/ANo GuestN/ANo GuestN/ANo GuestYes
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2/27/2019 14:31:17Onalaska ISD
Onalaska Junior/Senior High School
Ashley Maichetti
dmitschke@onalaskaisd.net
Danna MitschkeAssistant Principal
dmitschke@onalaskaisd.net
9365813487YesCarl Mitschke1Chloe Mitschke - 11
No, we will split up and participate in different activities.
NoNoNoNoNo2Danna MitschkeYesBella Vita PedicureCarl MitschkeYesBella Vita Pedicure
I understand that once I schedule my appointment with the spa that I will need to cancel if I am unable to attend.
YesYes3Danna MitschkeCarl MitschkeAdultDanna MitschkeAdultChloe Mitschke11 yrN/ANo GuestN/ANo GuestYes
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3/1/2019 14:42:29Gause ISDGause ISDDiane Lazrinedlazrine@gauseisd.netTeresa RussellAssistant Principaltrussell@gauseisd.net9792795891YesMichael Russell1Samantha Russell
Yes we will all participate in the same activity.
NoNoNoNoYes3
Michael Russell, Teresa Russell, Samantha Russell
2Samantha RussellYesBella Vita ManicureSamantha RussellYesBella Vita Pedicure
I understand that once I schedule my appointment with the spa that I will need to cancel if I am unable to attend.
YesYes3Teresa RussellMichael RussellAdultSamantha RussellAdultN/ANo GuestN/ANo GuestN/ANo GuestYes
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3/4/2019 15:25:30New Caney ISD
Robert L. Crippen Elementary
Christina McMillan
cmcmillan@newcaneyisd.org
Crystal MayesPrincipal
cmayes@newcaneyisd.org
8322446876YesDennis Mayes 2
Justin Mayes-13; Presley Mayes-8
Yes we will all participate in the same activity.
NoYes
Dennis-Adult Fish; Crystal-Adult Fish; Justin-13 yr-Fish; Presley-8 yr Fish
I understand all participants fishing will need to have a fishing license with a salt water tag and may purchase at the Pier before departure.
NoNoNo2Dennis MayesYes
Mini Bella Body Massage
Crystal Mayes Yes
Mini Bella Body Massage
I understand that once I schedule my appointment with the spa that I will need to cancel if I am unable to attend.
YesYes4Crystal MayesDennis MayesAdultPresley Mayes8 yrJustin Mayes14 yrCrystal MayesAdultN/ANo GuestYes
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3/4/2019 15:35:54New Caney ISDCrippen ElemChristina McMillian
cmcmillan@newcaneyisd.org
Lisa BruceAssistant Principal
Lbruce@newcaneyisd.org
7139629670YesJason Bruce0None
Yes we will all participate in the same activity.
NoNoNoNoNo2Lisa BruceYes
Mini Bella Body Massage
Jason BruceYes
Mini Bella Body Massage
I understand that once I schedule my appointment with the spa that I will need to cancel if I am unable to attend.
YesYes2Lisa BruceJason BruceAdultJason BruceAdultN/ANo GuestN/ANo GuestN/ANo GuestYes
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3/5/2019 8:59:34Crockett ISD
Crockett Early Childhood
none
dylis.bobbitt@crockettisd.net
Dylis BobbittPrincipal
dylis.bobbitt@crockettisd.net
9365442125YesJeremy Bobbitt3Jax 11 Jett 6 and Judd 4
Yes we will all participate in the same activity.
NoNoNoNoYes5Jax 11 Jett 6 and Judd 40YesNoYes
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3/6/2019 13:12:45Milano ISD
Milano Elementary School
Courtney Toddctodd@milanoisd.netCourtney ToddPrincipalctodd@milanoisd.net979-571-7830YesJames Todd2
Jayce Todd - 13, Ethan Todd - 14
Yes we will all participate in the same activity.
NoNoYes4
Jayce Todd - 13, Ethan Todd - 14
NoNo2Courtney ToddYes
Mini Bella Body Massage
James ToddYes
Mini Bella Body Massage
I understand that once I schedule my appointment with the spa that I will need to cancel if I am unable to attend.
YesYes4Courtney ToddCourtney ToddAdultJames ToddAdultEthan Todd14 yrJayce Todd13 yrn/aNo GuestYes
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3/6/2019 13:58:28Milano ISDMilano HSMary Honeycutt
mhoneycutt@milanoisd.net
Rick KutcherPrincipal
rkutcher@milanoisd.net
512-455-9333YesJenna Royers0N/A
Yes we will all participate in the same activity.
NoNoNoNoYes2
Rick Kutcher
Jenna Royers
1Jenna RoyersYes
Mini Bella Body Massage
I understand that once I schedule my appointment with the spa that I will need to cancel if I am unable to attend.
YesYes2Rick KutcherJenna RoyersAdultN/ANo GuestN/ANo GuestN/ANo GuestN/ANo GuestYes
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3/7/2019 8:10:33Milano ISDMilano High SchoolCatrina Steinbecker
csteinbecker@milanoisd.net
Catrina SteinbeckerPrincipal
csteinbecker@milanoisd.net
9792291910YesGary Steinbecker2
Breyton Steinbecker-13, Peyton Steinbecker-12
Yes we will all participate in the same activity.
NoNoNoYes4breyton 13 peyton 12Yes4breyton 13 peyton 121Catrina SteinbeckerYes
Mini Bella Body Massage
I understand that once I schedule my appointment with the spa that I will need to cancel if I am unable to attend.
YesNoYes
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3/18/2019 11:26:14College Station ISD
Spring Creek Elementary
Gail Burlesongburleson@csisd.orgStormy HickmanPrincipalshickman@csisd.org9792290103No
Yes we will all participate in the same activity.
NoNoNoYes1Stormy HickmanNo1Stormy HickmanYes
Mini Bella Body Massage
I understand that once I schedule my appointment with the spa that I will need to cancel if I am unable to attend.
YesYes1Stormy Hickmann/aNo Guestn/aNo Guestn/aNo Guestn/aNo Guestn/aNo GuestYes
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3/19/2019 11:00:10College Station ISD
Spring Creek Elementary
Gail Burlesongburleson@csisd.orgMindy ChapaAssistant Principalmchapa@csisd.org979 - 402- 5400YesXavier Chapa2
Lucy Chapa - 1; Jase Chapa - 6
No, we will split up and participate in different activities.
NoNoNoNoYes3
Mindy Chapa, Xavier Chapa, Jase Chapa - 6 yr.
0YesYes4Mindy ChapaXavier ChapaAdultJase Chapa6 yrLucyNo GuestN/ANo GuestN/ANo GuestYes
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3/8/19 15:11New Caney ISDNew Caney ElementarySusan Masseysmassey@newcaneyisd.orgDaniella Largent-HernandezAssistant Principaldlargent@newcaneyisd.org2546814638yesAdrian Hernandez3David Largent-14;Catherine Largent-9;Shyanne Largent-18Yes we will all participate in the same activity.NoYesDaniella, Adrian, & Shyanne-Adult fish. Catherine 8 yr & David-14 yr Child Fish
I understand all participants fishing will need to have a fishing license with a salt water tag and may purchase at the Pier before departure.
No1Daniella LargentYesMini Bella Body Massage
I understand that once I schedule my appointment with the spa that I will need to cancel if I am unable to attend.
Daniella Largent YesYes5Daniella Largent-HernandezAdrian HernandezAdultDavid Largent14Catherine Largent9Yes
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