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Contact
Central Florida
School Registration Form
January 30th and 31st, 2025 – Volusia County Fairgrounds
School County
(Required)
Please Select County
Brevard
Flagler
Lake
Marion
Orange
Osceola
Seminole
Sumter
Volusia
School Name
(Required)
Name of Person Completing This Form
(Required)
First
Last
Job Title
(Required)
Phone Number
(Required)
Email
(Required)
School Address
(Required)
Street Address
City
ZIP / Postal Code
Is the School Contact person the same as the person completing this form
(Required)
Yes
No
School Contact Name
(Required)
First
Last
Job Title
(Required)
School Contact Cell Phone Number
(Required)
School Contact Work Number
(Required)
School Email Address
(Required)
Preferred Date
Thursday, January 30th
Friday, January 31st
Number of Students Anticipated To Attend
(Required)
Number of Teachers/Chaperones Attending
(Required)
If you are able to provide your own transportation, please select YES. If not, please select NO
(Required)
Transportation costs will be reimbursed
YES
NO
Bus Pick-Up Location
(Required)
Street Address
City
Are bus pick-up and drop-off locations the same?
(Required)
Yes
No
Bus Drop-Off Location
(Required)
Please note: the Venue Location for CCD has been changed to the Volusia County Fairgrounds
Street Address
City
Bus holds 53 Passengers (Students/Chaperones/Teachers). Do you require special accommodations?
Yes
No
School Start Time
(Required)
Hours
:
Minutes
AM
PM
AM/PM
School End Time
(Required)
Hours
:
Minutes
AM
PM
AM/PM
Bus Pickup Time
(Required)
Hours
:
Minutes
AM
PM
AM/PM
Bus Dropoff Time
(Required)
Hours
:
Minutes
AM
PM
AM/PM
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Donations
USD
Please Select Donation Amount
Platinum $1500.00
Gold $1000.00
Silver $500.00
Bronze $250.00
Other Amount
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