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    The document provides a registration form for a South Carolina Association of Student Councils advisor workshop and middle school student workshop to be held on January 28, 2013 at Brookland Baptist Church in West Columbia, South Carolina. It requests information such as school name, address, contact information for advisors and students attending, whether previous attendance, and payment details. Registration is due by January 14, 2013.

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    2013 Advisor.ms Workshop

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    The document provides a registration form for a South Carolina Association of Student Councils advisor workshop and middle school student workshop to be held on January 28, 2013 at Brookland Baptist Church in West Columbia, South Carolina. It requests information such as school name, address, contact information for advisors and students attending, whether previous attendance, and payment details. Registration is due by January 14, 2013.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    12 views1 page

    2013 Advisor - Ms Workshop

    Uploaded by

    uh i am a man
    The document provides a registration form for a South Carolina Association of Student Councils advisor workshop and middle school student workshop to be held on January 28, 2013 at Brookland Baptist Church in West Columbia, South Carolina. It requests information such as school name, address, contact information for advisors and students attending, whether previous attendance, and payment details. Registration is due by January 14, 2013.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 1

    South Carolina Association of Student Councils

    Advisor Workshop / Middle Level Student Workshop

    Monday, January 28, 2013 - Brookland Baptist Church, West Columbia


    School Name ______________________________________________________________________________
    Mailing Address ___________________________________________________________________________
    City _______________________________________________________________ Zip _________________
    School Phone _________________________________ School Fax ________________________________
    Advisor ________________________________ Advisor E-mail ___________________________________
    Names of Middle Schools Students Attending
    (Last name, first name)
    Grade Level
    Previous attendance at this workshop???
    1.________________________________________________________________________________________
    2. ________________________________________________________________________________________
    3. ________________________________________________________________________________________
    Would you send additional student delegates if space becomes available? ________
    Names of Advisors Attending
    (Last name, first name)
    Home or Cell Phone Number (required for emergency contact)

    please include area code - if we have to cancel due to

    weather, we need this number.
    1. ________________________________________________________________________________________
    2. ________________________________________________________________________________________
    Payment (Please submit one check payable to SCASC.)

    _______ Middle School Student Delegates /SCASC Member School @ $35

    _______ Middle School Student Delegates/ Non-Member School @ $50

    _______ Advisors / SCASC Member Schools @ $45

    _______ Advisors/ Non-Member Schools @ $60


    TOTAL ENCLOSED
    Registration must be postmarked by January 14, 2013 and mailed to:

    Mrs. Lola Richbourg, SCASC Executive Director

    2800 Bachman Road

    Gaston, SC 29053

    _________
    _________
    _________
    _________

    _________

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