2008 FLORIDA COMPETITION CONGRESS

Clarion Resort & Waterpark, Kissimmee, FL.

June 21^st & 22^nd, 2008

Beginning @ 9:00 a.m.

Competition Congress Information

REGISTRATION FORM- Please Print

( Please fill out one form for each member attending Congress)

Name:_________________________________________________________________

Address:_______________________________________________________________

City, State, Zip:_________________________________________________________

Home Phone:____________________________ Cell Phone:______________________

Home Track:___________________________Volunteer Position:__________________

Please Print

E-mail address:__________________________________________________________

Do you have a current Officials License?_______________ T-Shirt Size:___________

Number of years “Volunteering”- on State or Local level?_______________________

How many in family will attend Congress (please include yourself)?_________________

(Meals provided by the SSA will only be for the member attending Congress/Seminars)

Signature to release information:____________________________________________

PLEASE RETURN THIS COMPLETED FORM AS SOON AS POSSIBLE USING ONE OF THE CONTACT METHODS BELOW:

E-mail: Tammi Geary- tammi@geary.net

Fax: 941-955-2418 or snail mail: 2751 Fountain Circle, Sarasota, FL. 34235

IMPORTANT!!! REGISTRATION DEADLINE is June 1st, 2008

*Note: If you register after the deadline, you may not receive a T-shirt or the special hotel price.