Georgia FBLA Fall Motivational Rally - October 12, 2017 Upload Deadline: September 12

Registration Form (to avoid late registration fees)

School: Lambert High School Primary Adviser Attending: Susan Fagan
Email: sfagan@forsyth.k12.ga.us Chapter # 16511 Phone: 678-965-5050

List your members below (DO NOT USE ALL CAPS): List your advisers attending below (include primary):
First Name Last Name First Name Last Name
1 Atiana Cooper 1
2 Grayson Thomason 2
3 Alex Reyman 3
4 Noah Schutt 4
5 Yonu Falowo 5
6 Jasmine Milligan 6
7 Lucia Morris List your chaperones attending below:
8 Fahd Kapadia First Name Last Name
9 Divyan Nixon 1 Lambert Parent
10 Samantha Barich 2 Lambert Parent
11 John Nicholason 3
12 Abhideep Budda 4
13 Tharun Kante 5
14 Taylor Parrish 6
15 Archana Baskaran There must be one adviser or chaperone for every ten (10)
16 Lane Hulett students or portion thereof.
17
18 Regular Registration Fees (uploaded by 9/12)
19 Number of Members (Includes wristband):
20 16 x $35= $ 560
21 Number of Members (No wristband):
22 x $20= $ -
23 Number of Advisers & Chaperones (Includes wristband):
24 x $35= $ -
25 Number of Advisers & Chaperones (No wristband):
26 2 x $20= $ 40
27 Number of Food Coupons (not included in registration)
28 x $2= $ -
29 (Note: Fair estimates each student will need 4-6 coupons)
30 Late Registration Fees (uploaded after 9/12 but by 9/19)
31 Number of Members, Advisers and Chaperones:
32 x $50= $ -
33 Late Registration Fees (uploaded after 9/19 but by 10/5)
34 Number of Members, Advisers and Chaperones:
35 x $60= $ -
36
37 Total Amount Enclosed: $ 600
38 You must upload this form by September 12 to:
39 https://georgiafbla.wufoo.com/forms/2017-rally-upload/
40 -AND-
41 You must also mail (to be RECEIVED by September 22)
42 copy of this form with check/money order payable to:
43 Georgia FBLA
44 3316-A South Cobb Drive, Suite #229
45 Smyrna, GA 30080
46 Do NOT mail payment to Evans P.O. Box!
47
48 No personal checks accepted for student registration!!
49 Personal checks are accepted for adviser registration only. Must
50 be uploaded by September 12 to avoid late fees. Payment must
if you have more than 50 members, please complete another form be received by September 22 to avoid late payment penalties.