2023 Key Club Convention Registration Form

2023 International Key Club Convention

The Georgia District will travel to Anaheim, Ca. for the 2023 Key Club International Convention July 3rd- July 9th. Registration is due by May 1st. Cost to attend is $980 per student (4 per room). Payment plans are available. Each attendee must register separately. No refunds available once deposit is received. Attendees are responsible for their own airfare. Please plan to arrive on July 3rd by 5pm to John Wayne (SNA) to use provided ground transportation. ** Note that in order to pay via the payment plan, an email must be sent to District Administrator, Heather Brindle, stating that the payment plan will be needed.
Full Name*

PrefixFirst NameLast Name
Key Club (name of high school): *
Birthdate*

MonthDayYear
Date
E-mail*
example@example.com **school emails are not accepted. Please use a personal email address (GMAIL, Yahoo,etc)**
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Current Key Club Position
T-Shirt Size

SmallMediumLargeExtra Large2- XL
Dietary Restrictions
Roommate Preferences:

Roommate #1-

Roommate #2-

Roommate #3-
All adults must have a cleared background check from Kiwanis International to attend the district tour and convention.

Yes, I need a background check completedNo, I have a current background check on file with Ga. DistrictI may have a current one on file. Please check.
Registration
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Key Club (Student) Tour Registration (4 per room)$980.00

Key Club (Student) Tour Registration (3 per room)$1,090.00

Key Club (Student) Tour Registration (2 per room)$1,270.00

Key Club (Student) Registration Tour (single room)$1,970.00

Quantity

Key Club (Student) Convention Only (4 per room)$530.00

Key Club (Student) Convention Only (3 per room)$610.00

Quantity

Key Club (Student) Convention Only (2 per room)$750.00

Quantity

Key Club (Student) Convention Only (Single room)$980.00

Quantity

Adult Tour Registration (2 per room)$1,500.00

Quantity

Adult Tour Registration (Single Room)$2,100.00

Quantity

Total $0.00
PAYMENTS DUE FOR A QUAD ROOM:

1st payment of $400 due by May 1st

2nd payment of $380 due by May 15th

3rd payment of $200 due by June 10th

Please email District Administrator Heather Brindle for other payment plan options.
Checks payable to Georgia District Key Club and mailed to:

Ga. Key Club

P. O. Box 6618

Macon, GA 31208
Cancellations or Refund Policy

No refunds after deposit have been submitted. After May 1st, only substitutions of the same gender will be accepted. Registration will be billed to the individual or the school if registration is not paid in full after June 12th.
Confirm that you have supplied accurate information and understand the non-refundable policy.

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2023 International Key Club Convention

Cancellations or Refund Policy