Circle K District Convention Individual Registration

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

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)

Discount Code

Total

Payment(Required)

If selecting check or venmo please submit to the District Office by March 26, 2026. Registration will be cancelled if payment is not received by March 26, 2026 at 5:00pm.

Credit Card

Card Details

Cardholder Name

CAPTCHA

Kids Need Kiwanis

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