The Rocky Mountain District of Key Club International presents: The 62nd Annual District Convention, April 4th-6th, 2014 Sheraton Denver West Hotel Name of Attendee: ___________________________________Grade: _____ Division __________ Key Club of: __________________________________________ Office currently held: __________ Address: __________________________ City: _____________ State: _________ Zip: ____________ Phone: (___) ____-________ Email: ______________________________________________________ Adult Chaperone (Required): _________________________________________________________ Emergency Contact: ______________________________________ Phone: (___) ____-_________ IMPORTANT, Please read the following: 1. 2.
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Use one form per attendee Appropriate payment, in full, must accompany this form. Additional arrangements can be made with the District Administrator. Any registration received after March 14th, 2014 will require a $15.00 late fee.
Cancelation Policies: 1.
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All cancelations must be made in writing on or before March 21st, 2014 to ensure a complete refund. Any cancelation received after this date is subject to a $50.00 penalty. NO refunds will be granted after March 28th, 2014.
Registration Fees: 1.
Registration includes: 2 nights of lodging, convention shirt, entertainment (including a talent show that YOU can star in), a dance, key note speaker, workshops, and 2 meals (K-Family Luncheon and Farewell Brunch)
Rooming Arrangements: If no rooming specified, registrant will be placed in a quad; each price is per registrant. (Check one.) ___Quad: $216 ___Double: $264
___Triple: $234 ___Single: $372
All FRESHMEN students are awarded a discount on quad occupancy rooms. The price per freshman registrant is $195. Adults may have single or double rooms ONLY.
Saturday K-family Luncheon Meal options: (Check one.) ___
Beef
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Fish
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Pasta (vegetarian)
Check the following that apply. I am: ___ Male ___ Female
___ Key Clubber
___ Advisor
___ Parent
___ Builders Club
___Circle K
___ Kiwanian
___ Other, Please specify _______________________ If you are not attending for the full weekend, just for the luncheon or brunch, check one of the following and list how many seats you would like to reserve. ___Saturday, K-family Luncheon $35.00 per person ___ Sunday, Farewell Brunch $30.00 per person Total amount enclosed: $ ______________________ Send form to: David Harris, RMD District Administrator, RMDKCAd@aol.com or send to 1641 S. Parfet Ct. Lakewood, CO, 80232. If you any questions, feel free to call Emily Sharp, Convention Chair, emilysharp.rmd@gmail.com, at 804.868.0683, or David Harris at 720.341.5064. For more information on District Convention visit rmdkeyclub.org or join the 2014 RMD Rocky Mountain Key Club Convention page on Facebook.
Desired Roommates: 1. ____________________________________ 2. ____________________________________ 3. ____________________________________
I, as a member of the RMD Key Club, agree to abide to the Key Club Code of Conduct, if I do not abide by the rules I understand Meals: that I can be excluded from this convention. Student Signature _____________________________ Parent / Guardian Signature ____________________________
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