Regional Leadership Training Workshop Registration Form Where: TBA

School _______________________________________________________________ Advisor _______________________________________ $ 0.00 per person / includes lunch Advisor _______________________________________ $ 0.00 per person / includes lunch Advisor _______________________________________ $ 0.00 per person / includes lunch Please list students attending and bring this form and money to the workshop.  Student Name 1  __________________________________________________________ $ 0.00 2  __________________________________________________________ $ 0.00 3  __________________________________________________________ $ 0.00 4  __________________________________________________________ $ 0.00 5  __________________________________________________________ $ 0.00 6  __________________________________________________________ $ 0.00 7  __________________________________________________________ $ 0.00 8  __________________________________________________________ $ 0.00 9  __________________________________________________________ $ 0.00 10 __________________________________________________________ $ 0.00                     TOTAL AMOUNT ___________

I M P O R T A N T Please Call, FAX, or email the number of students attending from your school. Send to: Region 5 Coordinators Ralph Bryan | Steve Mazzatenta

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