2026 Florida Student-Athlete Leadership Seminar Application
The 2026 Florida Student-Athlete Leadership Seminars will be held on Saturday October 10 at Atlantic Coast High School in Jacksonville, Florida from 9 a.m. - 1 p.m. The registration fee will be $32 per student and includes a t-shirt, lunch and commemorative gift.
Registration Information
What conference are you registering for?
*
Section 1 - Saturday October 10 at Atlantic Coast (Jacksonville, Duval County)
Who is registering student-athlete for seminar?
*
School representative
Parent/guardian
Name of person registering student-athlete
*
First Name
Last Name
Who will be receiving conference email updates?
*
School representative
Parent/Guardian
Student-athlete attendee
Name of person receiving conference updates
*
First Name
Last Name
Email address for conference updates here
*
example@example.com
Back
Next
Chaperone Information
Who is the chaperone for the seminar?
*
School representative
Parent/Guardian
Name of chaperone
*
First Name
Last Name
Email of chaperone
*
example@example.com
Phone Number of chaperone
*
-
Area Code
Phone Number
Will a chaperone be attending with the student-athlete attendee?
*
Yes
No
Back
Next
Student-Athlete Attendee Information
Student-Athlete Name
*
First Name
Last Name
Gender
*
Male
Female
Ethinicity
*
Caucasian
Black
Hispanic
Asian/Pacific Islander
Two or More Races
Other
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Age
*
Year in School for 2026-2027 School Year
*
Freshman
Sophomore
Junior
Senior
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone Number
*
-
Area Code
Phone Number
Cell Phone Number
*
-
Area Code
Phone Number
T-Shirt Size (Based on Men's Sizes)
*
Small
Medium
Large
Extra Large
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Relation to Student
*
Parent/Guardian
School representative
Other
Emergency Contact Phone Number
*
-
Area Code
Phone Number
Back
Next
Parent/Guardian Information
Name
*
First Name
Last Name
Address (if different from student-athlete attendee)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mother/Guardian Home or Cell Phone Number
*
-
Area Code
Phone Number
Mother/Guardian Work Phone Number
-
Area Code
Phone Number
Father/Guardian Home or Cell Phone Number
*
-
Area Code
Phone Number
Father/Guardian Work Phone Number
-
Area Code
Phone Number
Back
Next
School Information
School Name
*
School Phone Number
*
-
Area Code
Phone Number
Does school have an up-to-date EL3 form on file for student-athlete?
*
Yes
No
Submit
Should be Empty: