Chapter Officer Summit Registration Request Not Being Paired
June 23-25, 2026 | Hershey Lodge and Convention Center
This form will close at 11:59PM on Friday, June 5th. Registration and payment are both due by then, no exceptions. Please email any questions to Josh@MyPADECA.org.
Chapter
Advisor Name
First Name
Last Name
Advisor Email
example@example.com
Advisor Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Number of Students Attending
Number of Advisors Attending (An advisor must attend if students are coming)
Invoice Total (Please send payment to 1316 Abington Way Mechanicsburg PA 17050)
Attending Advisor's Name
Name
First Name
Last Name
Name
First Name
Last Name
Male Students
Male Student 1
First Name
Last Name
Male Student 2
First Name
Last Name
Male Student 3
First Name
Last Name
Male Student 4
First Name
Last Name
Male Student 5
First Name
Last Name
Male Student 6
First Name
Last Name
Female Students
Female Student 1
First Name
Last Name
Female Student 2
First Name
Last Name
Female Student 3
First Name
Last Name
Female Student 4
First Name
Last Name
Female Student 5
First Name
Last Name
Female Student 6
First Name
Last Name
Remember!!
Payment is due June 5th, 2026 | Send Payment to: 1316 Abington Way Mechanicsburg PA 17050
Submit
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