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)

Do you have any dietary restrictions?(Required)

If yes, please provide details:

T-shirt Size(Required)

+$1.00 for 2XL and +$2.00 for 3XL

Registration Type(Required)

Total

Payment(Required)

If selecting check or venmo please submit to the District Office by March 26, 2025. Registration will be cancelled if payment is not received by March 26, 2025 at 5:00pm.

Credit Card

Card Details

Cardholder Name

CAPTCHA

Kids Need Kiwanis

Circle K District Convention Individual Registration

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