2017 SPORTSMANSHIP & LEADERSHIP SUMMIT REGISTRATION



This form is due November 7, 2017.
  • To pay via CREDIT CARD: Complete this form and click "Continue to Credit Card Payment Screen" to enter your credit card information. Once you have completed credit card payment, your registration is complete. You will NOT need to mail in a copy of this form.

  • To pay via CHECK: Complete this form and click "Print Registration Form & Mail with Check" to print your registration form and mail it in to the NCA office with your check. When you click this button, you will be shown a printer-friendly version of your form as well as the address to mail it with your check.

School:
Site: Alliance High School, November 14    Kearney High School, November 15    Midland University (Fremont), November 16
Registration is $125 per team.
When registering more than 8 attendees, each additional individual registration is $15 per person.
Your total amount due will automatically calculate in the box next to "Total Amount Due" at the bottom of this screen.
Team Members:
 Name (First, Last)Student or Adult?
1. Student   Adult
2. Student   Adult
3. Student   Adult
4. Student   Adult
5. Student   Adult
6. Student   Adult
7. Student   Adult
8. Student   Adult
+ Add Another Team Member
Total Amount Due:$
Contact information for person submitting this form:
Please complete this info accurately so we can contact you if there are any problems.
     Name:
     Phone:() -
     E-mail:
OR