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2015 Rally Registration Form (Lovejoy High School, Hampton, GA)

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Published by lori.stringer, 2016-04-21 11:49:05

2015 Rally Registration Form (Lovejoy High School, Hampton, GA)

2015 Rally Registration Form (Lovejoy High School, Hampton, GA)

Georgia FBLA Fall Motivational Rally - October 15, 2015 Upload Deadline: September 22
Registration Form (to avoid late registration fees)

School: Lovejoy High School Primary Adviser Attending: Lori Ashford-Stringer
Email: [email protected]
Chapter # 11482 Phone: 678-368-9095

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 Esther Ababio 1 James Simmons

2 Kimani Archer 2 Dr. Theresa Yarbough

3 Loring Ashbury 3 Janine Walton

4 London Barker 4

5 Angel Boyd 5

6 Jada Brimidge 6
7 Nasseer Brooks List your chaperones attending below:

8 Kiyah Bussie First Name Last Name

9 Quentin Bussie 1

10 Alexis Campbell 2

11 Genesis Collins 3

12 Kirsten Dudley 4

13 Santo Dunn 5

14 Erika Echols 6

15 Kendrick Fonseca There must be one adviser or chaperone for every ten (10)

16 Kendrick Hammond students or portion thereof.

17 Jayla Harper Regular Registration Fees (uploaded by 9/22)
18 Jeffrey Jones

19 Kaila Leonard Number of Members (Includes wristband): 1,225
20 Shania Moss
35 x $35= $

21 Joshua Ojo-Osagie Number of Members (No wristband): $ -
22 Juan Padillo
x $20=

23 Justin Pass Number of Advisers & Chaperones (Includes wristband): -
24 Brian Pierce
x $35= $

25 Imari Pina Number of Advisers & Chaperones (No wristband): 80
26 Amy Reyes
4 x $20= $

27 Jason Reyes Number of Food Coupons (not included in registration) -
28 Taiya Rivers
x $2= $

29 Mariah Roberts (Note: Fair estimates each student will need 4-6 coupons)
30 Alexander Singh
Late Registration Fees (uploaded after 9/22 but by 10/2)

31 Quondavious Smith Number of Members, Advisers and Chaperones:
32 Margarita Tadeo
33 Kayla Valencia 6 x $50= $ 300

Late Registration Fees (uploaded after 10/2 but by 10/6)

34 Jalil Walters Number of Members, Advisers and Chaperones: -
35 Justin Williams
x $60= $

36 MyKaiyah Wright Total Amount Enclosed: $ 1,605
37 Kyndall Dial

38 Iyounna Holloway You must upload this form by September 22 to:

39 Kamia Frazier https://georgiafbla.wufoo.com/forms/2015-rally-upload/

40 Andrianna Ruffin -AND-

41 Jordan Ezell You must also mail (to be RECEIVED by October 2)

42 Le'Anndrea Wright copy of this form with check/money order payable to:

43 Georgia FBLA

44 Reminder: GA FBLA will pay for Brian Pierce fee-see SLOTS note3s 316-A South Cobb Drive, Suite #229

45 Brian won Gorrilla Beats the gun @ SLOTS Smyrna, GA 30080

46 Alexander Singh name was spelled incorrectly 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 22 to avoid late fees. Payment must

if you have more than 50 members, please complete another form be received by October 2 to avoid late payment penalties.


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