FOCUS RESERVATION FORM

This is your institutional registration location for the 2010 FHTC FOCUS event.  Reservations are limited.  An early response will assure a place for you and your students.  Late reservations cannot be guaranteed.  Individual student reservations will be e-mailed. 

Will your institution be able to attend F.O.C.U.S?	Yes No
Institution Name
Address
City
State
Zip Code
Name of Counselor (or contact person)
E-Mail of Counselor (or contact person)
Contact Phone Number
Contact Fax

Approximately, how many students will be attending?
Which day will you be attending?	Monday, November 14th Tuesday, November 15th
Which session will you be attending?	Morning 9:30 - 11:30 Afternoon 12:30 - 2:30

Comments/Questions:

Reservations are limited.  An early response will assure a place for you and your students. Late reservations cannot be guaranteed.  Please submit your information by October 15, 2010.  Individual student reservations will be e-mailed.