PSU FAMILY & CONSUMER SCIENCES CAREER DAY 2013
To qualify for the discounted registration price of $20 per student, registrations must be received by September 25.
Registrations received September 26 – October 16 will be $25 per student. No charge for teacher/sponsor.
You will be mailed parking passes and a map after we receive your registration.
E-Mail, mail, or fax your registration to (no phone calls – this form is required):
Holly Viets
PSU Family & Consumer Sciences
1701 South Broadway
Pittsburg, KS 66762
Fax to Holly’s Attention: (620)235-4947
Questions: Call Holly at (620)235-4457 or email hviets@pittstate.edu
Watch for a confirmation by the next work day – contact us if not received!
Registration fee includes:
Career Focused Activities
Parking
Lunch
T-Shirt
Campus Tour on PSU Bus
Door Prizes
FCS Career Day is October 29, 2013 from 9:30-2:30
Register early
this year
before we reach
Teacher/Contact Person: ___________________________________________________________________
our maximum
cap of 225
High School Name ________________________________________________________________________
students.
.
Complete School Mailing Address ___________________________________________________________
___________________________________, ___________
High School (
)____________________________Phone
Teacher T-Shirt Size: S
Notice
early
deadline is
9/25!
__ __ __ __ __
M
L
XL
Print Teacher E-Mail __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
“Print” Students Attending: (copy this sheet if additional space is needed)
Name of Student or Para
1. _____________________________________________
Circle T-Shirt
Circle Classification:
S M L XL
Soph Junior Senior
2. _____________________________________________
S M L XL
Soph Junior Senior
3. _____________________________________________
S M L XL
Soph Junior Senior
4. _____________________________________________
S M L XL
Soph Junior Senior
5. _____________________________________________
S M L XL
Soph Junior Senior
6. _____________________________________________
S M L XL
Soph Junior Senior
7. _____________________________________________
S M L XL
Soph Junior Senior
8. _____________________________________________
S M L XL
Soph Junior Senior
9. _____________________________________________
S M L XL
Soph Junior Senior
Totals
X
Total Students Attending (above) _____
Teacher Attending/Listed Above _1__
Name & position of Additional Teacher
or Administrators (list paras w/students):
_______________________________
_______________________________
X
--
Early Registration/$20 only
if rec’d at PSU by 9/25/13
$20.00 =$___________
-----
“or”
“or”
---
Registration/$25 if
rec’d 9/26/13-10/16/13
$25.00 = $_________
-----
-----
---
----
--
Amount Due
$
$
0.00
$
0.00
$
**Total Due
NOTE: To qualify for the discounted rate, only this registration form must be received by 9/25/13. Payment may be made upon arrival.
**Please pay entire amount with one check payable to Pittsburg State University FCS with this form “or” upon arrival. Refer to FAQ.
FACS Teachers, Administrators and Counselors are complimentary. Our scheduling and expenses are planned on the number submitted on
this registration form, therefore, no refunds for no-shows. Additional copies of this form may be found at www.pittstate.edu/fcs
Important - If you do not receive an emailed confirmation within eight working hours – please resend registration.
Grand Total Attending
_____