Peer Ed Conference Registration

Peer Education Conference Registration

Monday, February 22, 2026 | Holiday Inn Conference Center | Kearney, NE
Schedule at a Glance

Sunday, February 22: Pre-Conference Event ($10/member)
Monday, February 23: Peer Education Conference ($30/member; includes lunch)

This registration is for all students, advisers, chaperones, or others attending the Peer Education Conference.

More information can be found on the Peer Education Conference page of the Nebraska FCCLA website.

Nebraska FCCLA Dress Code is required for this event. Please review to ensure your members are dressed appropriately.

You will receive a registration confirmation upon submission of your registration. You will receive an Invoice from QuickBooks within a week of completing registration; Erin will process invoices in QuickBooks on Mondays & Thursdays. The invoice should be submitted with your payment to Grafton.

Registration closes on Wednesday, February 11 at 5pm CST.
Chapter Name*
Adviser Name*
Adviser Email*
example@example.com
Adviser Cell Phone*
Please enter a valid phone number.
Please indicate how many youth members will be participating in the pre-conference activity on Sunday, February 22.

(Rate: $10/person)
Members*
Pre-Conference Registration Cost
Cost will automatically be calculated.
Please indicate how many youth Members & Advisers/Adult Guests will be attending the conference on Monday, February 23.

(Rate: $30/person - includes lunch)
Members*
Student Names will be provided on the next page.
Advisers/Adult Guests*
Bus Drivers, Additional Chaperones, etc. should be included here for the lunch count.
Conference Registration Cost
Cost will automatically be calculated.
Total Registration Cost
Cost will automatically be calculated.
Special Accommodations
Physical, Food Allergies, Special Requests, etc.

Additional Adviser/Adult Guest Names
Additional Adviser/Adult Guest #1
FirstName LastName
Additional Adviser/Adult Guest #2
FirstName LastName
Additional Adviser/Adult Guest #3
FirstName LastName
Additional Adviser/Adult Guest #4
FirstName LastName
Additional Adviser/Adult Guest #5
FirstName LastName

Member Names
Student Name #1
FirstName LastName
Student Name #2
FirstName LastName
Student Name #3
FirstName LastName
Student Name #4
FirstName LastName
Student Name #5
FirstName LastName
Student Name #6
FirstName LastName
Student Name #7
FirstName LastName
Student Name #8
FirstName LastName
Student Name #9
FirstName LastName
Student Name #10
FirstName LastName
Student Name #11
FirstName LastName
Student Name #12
FirstName LastName
Student Name #13
FirstName LastName
Student Name #14
FirstName LastName
Student Name #15
FirstName LastName
Student Name #16
FirstName LastName
Student Name #17
FirstName LastName
Student Name #18
FirstName LastName
Student Name #19
FirstName LastName
Student Name #20
FirstName LastName
Student Name #21
FirstName LastName
Student Name #22
FirstName LastName
Student Name #23
FirstName LastName
Student Name #24
FirstName LastName
Student Name #25
FirstName LastName
Student Name #26
FirstName LastName
Student Name #27
FirstName LastName
Student Name #28
FirstName LastName
Student Name #29
FirstName LastName
Student Name #30
FirstName LastName
Should be Empty:

Peer Education Conference Registration