National Be a Teacher Day at KSU

Attendee Name

First NameLast Name

Attendee Type

Other

If Student, Grade Level

Does this attendee have any dietary restrictions, food allergies, mobility needs, interpreter needs, or other accommodations we should be aware of? If yes, please describe.

If none, you can leave blank.

Chapter Name

National FCCLA Chapter ID

Adviser Name

First NameLast Name

Adviser Cell Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Adviser Email

example@example.com

Is this the final attendee you are registering for your chapter?

If you choose "No" in the above question, please do not complete this section.

What will be your mode of transportation?

Method of Payment?

By signing my name below, I certify that:

I understand that no registration refunds will be issued after September 24, 2026.
I will ensure that all student attendees follow the Georgia FCCLA Dress Code and Code of Conduct.
I certify that all student attendees will have completed the required signed release forms prior to the event.
I understand that my chapter is responsible for payment of the registration fees for all attendees submitted.
I confirm that the attendee and chapter information I have provided is accurate.
I confirm that this is my chapter’s final attendee registration and Georgia FCCLA may create and send my chapter’s invoice.

Adviser Signature

National Be a Teacher Day at KSU

ONLY COMPLETE THIS SECTION WHEN SUBMITTING THE FINAL ATTENDEE FOR YOUR CHAPTER.