AfAm Student Summit 2022 Registration Form

African American Student Summit

REGISTRATION

El Dorado High School, Host School

NOTE: DEADLINE To Register November 10, 2022. DO NOT register if you are a student. Contact your school site BSU Advisor to sign up and they will register you as a Club group. This event is NOT open to the public.

1. Please register your entire BSU school delegation as one group, including yourself and all Adviser(s) accompanying the group. Please indicate if there are any meal restrictions.

2. Please indicate t-shirt sizes in your registration. You will pick up all of your student t-shirts along with a meal ticket, raffle ticket, packet for each student at check in for your distribution. Sign in at the check in table upon arrival.

3. PLEASE BE ADVISED THAT CCSD CENTRAL OFFICE IS ARRANGING YOUR BUS TRANSPORTATION TO/FROM EL DORADO HIGH SCHOOL FROM YOUR SCHOOL. Your pick up time will be provided 10-14 days prior to the Summit.

4. Dinner will be provided along with snacks and water. You will receive a meal ticket for each student/advisor.

5. Business casual attire requested (NO jeans) or your 2022 conference t-shirt that you receive at check in for each student.

Summit 2022 Registration Form

* Indicates required field

School Site BSU Club: *

Total Number Attending (incld Adults) *

Name of Club Adviser *

First

Last

Cell Phone Number *

Adviser's Email *

Name of additional Adviser Attending: *

First

Last

Name of additional Adviser Attending: *

First

Last

Any Vegetarian Meals Requested? *

Yes No

Indicate the number of t-shirts you need by size. The total number must match the number of students/advisors in your registration: *

If so, how many vegetarian meals requested? *

I understand I will receive my bus schedule 10-14 days prior to the Summit and I do NOT need to make separate arrangements *

Yes No

Submit

Thank you to our Summit sponsors for their continued support: