Convention 2022 - Chapter Registration Form

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
Registration Details *
Dietary Restrictions / Other Accommodations
Should be Empty:

Convention Registration Form