Circle K District Convention Group Registration

All attendees in the group must be from the same school. Please select school and enter each individual member attending. This form will allow for one payment for the entire group.

>> Circle K District Convention Information

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

Primary Contact Information

Please list the primary contact for this group that will receive the receipt and confirmation of registration and payment.

Primary Contact Name(Required)

First Last

Primary Group Email(Required)

Attendee Information

Name	Email	T-Shirt Size	Registration Type	Actions

There are no Entries.

Total Registered

Product Name

Price: $0.00

Total

Payment(Required)

If check, please submit to the District Office. Registration will be cancelled if check is not received by March 18, 2022 at 5:00pm.

Credit Card

Card Details

Cardholder Name

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Kids Need Kiwanis

Circle K District Convention Group Registration

Primary Contact Information

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