2024 Fall Leadership Conference

School Information

*Date

*School

*District

*Street Address

*City

*State

*Zip

*School Phone

Mobile Phone: To be used if needed to contact you during conference.

*Mobile Phone

Sponsor/Adult Information

*Sponsor 1 Name

Sponsor 2 Name

Sponsor 3 Name

Sponsor 4 Name

Sponsor 5 Name

Sponsor 6 Name

Sponsor/Adult Emails

DO NOT HIT ENTER AFTER ENTERING INFORMATION IN FORM FIELDS

A registration confirmation will be sent to the email entered below.

*Contact E-mail

School Status

You have NOT attended in the last 5 years

If you have HAVE attended in the last  5 years

Sponsors attending: Select the number of sponsors attending from the drop-down menu

1-2 Sponsors Select this option

3 or More Sponsors,? Use these options:

T-shirts must be ordered at time of registration

T-shirts are included in the price of registration. 
Enter the number needed for each size below:

Small T-shirts (SM)

Medium T-shirts (M)

Large T-Shirts (L)

Extra-Large T-shirts (XL)

Extra Extra-Large T-shirts (XXL)

For each conference package available below, enter the number of students attending

For students only attending the morning and afternoon sessions, speakers conference materials, and Lunch on Thursday, November 7th (this does not include banquet and evening activities).

To attend Thursday sessions both day and evening plus banquet and activities (this does not include Friday, November 8th).

Attend activities for both days, Thursday, November 7, and Friday, November 8, 2024.

School Candidacy

*Office

Choose Interest

Invoice Total:

What office is your school interested in running for? Campaign Guidelines Here                              

Verify your information on the next page! If all information is correct click `final submit`

Submit Payment to:
OAMJHSC C/O
Pecks CPA
205 S. McKenna
Poteau, Ok 74953

Do NOT send checks or purchase orders to anyone except the Accounting firm!

If you do not receive a confirmation email, be sure to check your spam folder.

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