WUM CKI District Convention Registration: Submerged in Service

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February 28-March 1, 2020 @ Madison Marriott West

Please view paper registration form with more details before continuing (https://wumcirclek.weebly.com/district-convention-dcon.html)

Payment can be made through the Square Store @ https://wisconsin-upper-michigan-circle-k.square.site/. Please note that we can NOT accept Venmo for this event.

Please make all checks payable to WUM Circle K

Room Reservations can be made here: https://forms.gle/aALWaQfKFHeeJLHCA

Please direct any and all questions about District Convention to wumcki.dcon@gmail.com and/or wumcki.districtadvisor@gmail.com

Email *

First Name *

Last Name *

Phone Number *

Address *

Circle K Club

Registration (see paper copy for prices)

Registration Options (guests may choose full options or multiple individual options) *

Early (full)-Payment postmarked by 1/31/20

Regular (full)-Payment postmarked by 2/10/20

Late/Onsite Registration (full)

Saturday Morning Breakfast (guest only)

K-Family Luncheon (guest only)

President's and Parent's Banquet (guest only)

Required

Meal Choice for President's and Parent's Banquet

Parmesan Herb Chicken

Double Cut Pork Chop

Require Special Dietary Needs*

Clear selection

*Special Dietary Needs/Restrictions

Necessary Medical Information

T-Shirt Size (for full registration only)

XXL

Clear selection

Roommate Situations (Circle K members only)

Rooming Preference (Check all that apply)

I know who my roommates will be (list in next question)

I am open to being paired with additional roommates

I am not open to being paired with additional roomates

If roommates are known, list up to 3 names with schools below

Payments must be sent to: District Administrator Justin Hahn 1641 Fox River Parkway, Waukesha, WI 53189

A copy of your responses will be emailed to the address you provided.

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