Officer Training Registration Requirements & Form

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It’s April, which means it is time to register your club for the leadership training sessions this summer. If your club has not elected your 2012-2013 officers, please pass this information to the incoming President and President Elect once your elections are completed.

PRE-REGISTRATION IS REQUIRED To register please review the following guidelines: • You must submit the enclosed form complete with a $30.00 payment for EACH participant. If payment is not received WITH THE FORM, it will be sent back immediately. • The registration form is located on the back of this letter. You can also find the form online under the Leadership Training Icon. • PRINT the information on the form clearly. • Circle the appropriate officer position on the registration form that you will be holding starting OCTOBER 2012. • Mail the registration form to Civitan International, Attn: Stacy Sabo, PO Box 130744, Birmingham, AL 35213-0744. You may also pre-register by emailing a completed form to stacy@civitan.org or by fax (205-592-6307) with a credit card. • A pre-registration packet will be sent with training materials and meeting location information once we receive your registration. Secure your materials in a safe place until the session. We look forward to the opportunity to meet and work with each of you. Please contact me if you have any questions.


PRE­REGISTRATION FOR PRESIDENT/PRESIDENT­ELECT LEADERSHIP TRAINING

CLUB NAME: ____________________________________________________________________ DISTRICT NAME: ________________________________________________________________

CIRCLE the office you will hold STARTING OCTOBER 2012 PRESIDENT OR

PRESIDENT­ELECT

NAME: ___________________________________________________________________________________ ADDRESS: ______________________________________________________________________________ _______________________________________________________________________________

EMAIL ADDRESS: ______________________________________________________________________ PLEASE CHECK THE WORKSHOP YOU WILL ATTEND: June 9, 2012 _____Dundas, Canada

June 10, 2012_____Smith Falls, Canada

June 23, 2012_____Fredericksburg, VA

June 23, 2012 _____Tulsa, OK

July 21, 2012 _____Kingsport, TN

July 21, 2012_____Atlanta, GA

July 21, 2012_____Albuquerque, NM

July 21, 2012 _____Little Rock, AR

July 21, 2012_____Greensboro, NC

July 28, 2012_____Columbus, OH

July 28, 2012_____Albany, GA

July 28, 2012 _____ Decatur, AL

July 28, 2012_____Tucson, AZ

July 28, 2012_____Jacksonville, FL

Aug. 4, 2012 _____ Burbank, CA

Aug. 4, 2012 _____Asheville, NC

Aug. 11, 2012_____Columbia, SC

Aug. 11, 2012_____Baton Rouge, LA

Aug. 11, 2012_____Lansing, MI

Aug. 11, 2012_____Raleigh, NC

Aug. 18, 2012_____Mobile, AL

Aug. 18, 2012_____Orlando, FL

Aug. 18, 2012 _____Nashville, TN

Aug. 18, 2012_____Memphis, TN

Aug. 18, 2012_____Huntsville, AL

Aug. 25, 2012_____Charlotte, NC


Aug. 25, 2012_____Jackson, MS

Aug. 25, 2012_____Chattanooga, TN

Aug. 25, 2012_____Evansville, IN

Aug. 25, 2012_____Birmingham, AL

(B’ham site has maximum capacity of 80 participants)

Please mail registration form and $30.00 registration fee PER PERSON to: Civitan International, Attn: Stacy Sabo, PO Box 130744, Birmingham, AL 35213­0744


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