Convention Registration Form
Use this form for individual or Chapter registration. Please direct any questions via email to convention@modemolay.org.
Chapter Name
If not registering a chapter, enter "Individual"
Registering Person Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Instructions
Identify the following details for each attendee:
First Name - First Name of attendee
Last Name - Last Name of attendee
Registration - Identify attendee type
Room Group - Use this field to identify which attendees will be rooming together. Identify those that are rooming together with the same number.
T-Shirt - Pre-order for t-shirts is now closed. T-shirts will be available at $20 on-site at Convention.
In addition, please identify the following for any/all attendees:
Dietary Restrictions / Other Accommodations - Identify any dietary restrictions or other necessary accommodations (e.g. accessible room).
Also provide information if sharing a room with a person under a different registration.
Once complete, Missouri DeMolay will provide the registering person with the total cost via email.
Registration Rates:
DeMolay
Single Occupancy = $400
Dual Occupancy = $350
Triple Occupancy = $300
Quad+ Occupancy = $250
Advisor/Sweetheart/Sweetheart Chaperone/Guest
Single Occupancy = $400
Dual+ Occupancy = $250
Candidate
Dual+ Occupancy = $150
Registration Details
*
Dietary Restrictions / Other Accommodations
Submit
Should be Empty: