Circle K District Convention Individual Registration

>> Circle K District Convention Information

School Name (if Kiwanis Committee, Circle K Alumni, or Advisor select KIWANIS)(Required)

Name(Required)

First Last Preferred Name

Pronouns

Position(Required)

Cell Phone(Required)

Email(Required)

T-Shirt Size(Required)

Do you have any dietary restrictions?(Required)

If yes, please provide details:

Registration Type(Required)

Total

Payment(Required)

If selecting check, venmo or paypal, please submit to the District Office by March 15, 2024. Registration will be cancelled if payment is not received by March 15, 2024 at 5:00pm.

Credit Card

Card Details

Cardholder Name

CAPTCHA

Kids Need Kiwanis

Circle K District Convention Individual Registration

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