Pre-Registration Worksheet - Texas FCCLA

DO NOT MAIL THIS
WORKSHEET
PRE-REGISTRATION WORKSHEET
REGION V
FAMILY, CAREER AND COMMUNITY LEADERS OF AMERICA
“FCCLA: A World of Opportunities”
The Ultimate Leadership Experience
Galveston, Texas
February 14 – 15, 2014
DEADLINE: Friday, December 13, 2013 (Must be postmarked on or before this date.)
REGISTER ONLINE, MAIL PAYMENT AND REGISTRATION CONFIRMATION TO:
Texas FCCLA
Lockbox Operations
P.O Box 1326
San Antonio, TX 78295-1326
Chapter ID Number:
School:
Chapter Name:
School Address:
City: Zip Code: School Phone:
Advisor Name:
County:
School District:
Email Address:
School Classification (circle one): Middle School 1A 2A 3A 4A 5A
MEETING ATTENDANCE BREAKDOWN:
Comprehensive and Technical:
Occupational Specific:
STAR Events Participants/Certificates:
Proficiency Events Participants/Certificates:
FCSA Participants/Certificates:________________ Power of One ___________________
Total Members Attending @ $16.00 $
Male Female
New Affiliation Complimentary
NO CHARGE
(First year affiliated chapters receive complimentary registrations for two members.)
Advisors @ $16.00
Parents @ $16.00 $
Administrators
Guest @ $16.00 $
_____FCSA(s) @ $10.00 $
Total Attendance Total Amount $
NO CHARGE
ETHNICITY: Indian Asian Hispanic White Black
This is a WORKSHEET.
Registration is available only online at www.texasfccla.org.
Each chapter must register separately. Registration packets may be picked up by
advisors at the registration table at the Region meeting.

Region Family Consumer Science Assessments (FCSA)
Pre-Registration WORKSHEET
Pre-site registration is $10 per test. Each member is allowed to take only one test.
Enter number of students taking each test in the boxes below.
Child Development Consumer Math Creed, Mission, & Purpose Culinary Arts Education & Training
Etiquette Fashion Design Hospitality Interior Design Job Interview Parliamentary
Procedure
Step One
:
Total Students Participating: __________________
Register for FCSA online at www.texasfccla.org