Convention 2025 Registration

1

Full Name* This field is required.

First Name

Middle Name

Last Name

Suffix

2

Email Address* This field is required.Registration confirmation and event updates will be sent via email.

3

Phone Number* This field is required.

4

Address* This field is required.

Street Address

Street Address Line 2

City

State / Providence

Postal / Zip Code

Country

5

Date of Birth* This field is required.

It is important to provide your actual date of birth! This is used to confirm your registration type and housing assignment at Convention. Registrants under the age of 21 at the time of Convention are considered youth attendees. Failure to provide your actual date of birth may result in processing delays and additional registration costs and fees.

6

Start Date* This field is required.This is a hidden field for the Convention Start Date

Date

7

AgeThis is a calculation of how old the registrant is

8

Gender* This field is required.

Male

Female

9

Name of Chapter / Masonic Group* This field is required.Provide the name of your Chapter, out-of-state DeMolay Jurisdiction, or affiliated Masonic organization.

10

Title / PositionAt the time of Convention, will you hold any position, rank, or title that you desire to be included on your name tag?

11

Youth Attendee Type* This field is required.

DeMolay

Squire

Youth Guest

12

Adult Attendee Type* This field is required.

DeMolay Advisor

Adult Guest

14

Do you need Chapter Registration Viewing Credentials?Yes, because I am the:

NA

Chapter Advisor

Chapter Chairman

Chapter's Convention Registration Advisor

Region Deputy

15

How many days will you be attending Convention?* This field is required.

Full-Time (Thu-Sun)

Part-Time (Fri-Sun)

Overnight (Sat-Sun)

16

Room Occupants* This field is required.You must indicate roommates on the next question if you select 2- or 3-to-a-room.

4-to-a-Room

3-to-a-Room

2-to-a-Room

1-to-a-Room

17

Preferred RoommatesRoom occupants must be of the same gender. Youth attendees under the age of 21 cannot be in the same room as adults 21 years or older. Youth attendees must be within a three-year age difference (e.g., 12-14) at the time of Convention.

Please type one name for each line, excluding yourself.

18

This year at Convention, I will be on...

State Chapter

Convention Staff

Neither

19

Convention Staff Advance Rooming* This field is required.

Tue & Wed - 4-to-a-Room ($90)

Tue & Wed - 3-to-a-Room ($120)

Tue & Wed - 2-to-a-Room ($180)

Tue & Wed - 1-to-a-Room ($360)

Wed - 4-to-a-Room ($45)

Wed - 3-to-a-Room ($60)

Wed - 2-to-a-Room ($90)

Wed - 1-to-a-Room ($180)

Arriving Thursday

20

Will this be your first time at our Convention?* This field is required.

No

Yes

21

Will you be receiving the Initiatory Degree at Convention?* This field is required.

22

Will you be receiving the DeMolay Degree at Convention?* This field is required.

23

What size shirt do you wear?* This field is required.

24

Do you have any disabilities, food allergies, or other conditions we should be aware of?

25

Are you interested in judging ritual competitions?* This field is required.

No

Yes

26

Have you judged ritual before?* This field is required.

No

Yes

27

Do you have a preference on ritual type?* This field is required.

Word

Performance

28

Are you interested in working security?* This field is required.

No

Yes

29

Do you have a preference on security shift?* This field is required.

Mornings

Afternoons

Evenings

Overnights

30

Are you a CERTIFIED first responder?* This field is required.

No

Yes

31

Parent / Legal Guardian Name* This field is required.

32

Parent / Legal Guardian Phone* This field is required.

33

Parent / Legal Guardian Email* This field is required.

34

Emergency Contact Name* This field is required.

Who can we contact in case of an emergency?

35

Emergency Contact Phone* This field is required.

36

Relationship* This field is required.

How is this person related to you?

37

Because you will be under the age of 21 at the start of Convention, your parent or legal guardian must complete the Parent Consent and Medical Release Form at www.DeMolayCon.org/parents for you to be able to attend this event.

38

Base Cost

39

State Chapter Cost

40

Staff Advance Rooming

41

Staff Discount

42

Due Total

43

Date

44

Discount

45

Due Today

46

Your Registration Cost

Registration Type: {attendance}

Room Type: {roomOccupants}-to-a-Room

Registration Cost: ${dueTotal}

You will save ${discount} if you pay your registration cost in full before January 31, 2025!

47

How would you like to pay for your registration?* This field is required.

Make a payment now by credit card or PayPal

Make a payment later by check, credit card, or PayPal

48

PayPal AirTable Dropdown

49

PayPal Description

50

Amount to be paid via PayPal* This field is required.

Convention Registration Cost

USD

+ OR enter a custom value

51

Amount Paid

52

You can pay your registration cost in part or in full by the March 16, 2025 deadline online at www.DeMolayCon.org/pay.