2024 GA Key Club SLC Registration

Name*

First NameLast Name

Attendee E-mail*

example@example.com **school emails are not accepted. Please use a personal email address (GMAIL, Yahoo,etc)**

Attendee Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Area CodePhone Number

Gender*

FemaleMaleOther

Current Grade: Key Club Members Only

9th10th11th12th

K-Family Membership Level*

Key Club (name of high school):

Role for 2024-2025

Faculty Advisor/Sponsor Full Name

PrefixFirst NameLast Name

Faculty Advisor/Sponsor E-mail

example@example.com

School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Do you have dietary restrictions? If so, please fill in the blank below to include your restriction(s). The facility will try to accommodate your request. Do you have dietary restrictions? (vegetarian, food allergies, etc.)

Attendee T-Shirt Size*

Additional Attendee Names- (Sponsor Only Section) Please include student's first and last name, gender, t-shirt size, office held information (If applicable) , and dietary restrictions

Roommate Request: Please list the names of attendees you would like to request as a roommate. Request are not guaranteed. All roommates MUST have the same room choice to be placed together.

I certify that all adults I am registering to attend the 2025 Key Club International Convention and have cleared a limited criminal history background check within the past two years from Kiwanis International through the guidance of the Youth Protection Program.

Yes - all of the adults I am registering have cleared the KI background check.No- These adults will need to pass the Kiwanis background check to attend.No - I understand these adults will not be able to attend.

FOR STUDENTS THAT REGISTER ON THEIR OWN: I understand that I am responsible for the full registration fee and have received approval from my Key Club faculty advisor to register. I also confirm that this registration is my commitment to make all payment by due date posted above, or my home Key Club and school will have to pay my remaining balance owed.

I agreeI do not agree and my registration will be cancelled

Confirm that you have supplied accurate information and understand the non-refundable policy.

Date*

Date

Do you want to pay by check or credit card?

CheckCredit CardPayment Plan by CheckPayment Plan by Card

Registration Types- Note you will need to select the total quantity of each of the registration types. Each member is 1 quantity.

Key Club Student

Key Club (Student) District Tour & ICON Registration (QUAD room) $1200

Key Club (Student) District Tour & ICON Registration (Triple room) $1350

Key Club (Student) District Tour & ICON Registration (Double room) $1500

Key Club (Student) District Tour & ICON Registration (Single room) $2175

Key Club (Student) ICON Only Registration (QUAD room) $700

Key Club (Student) ICON Only Registration (Triple room) $775

Key Club (Student) ICON Only Registration (Double room) $900

Key Club (Student) ICON Only Registration (Single room) $1325

Key Club Adult

Key Club ADULT (Guest /Adult Chaperone/Sponsor) Distsrict Tour & ICON Regsitration (2 to a room; double beds) $1500

Key Club ADULT (Guest /Adult Chaperone/Sponsor) Distsrict Tour & ICON Regsitration (king bed) $2175

Key Club ADULT (Guest /Adult Chaperone/Sponsor) ICON ONLY Regsitration (2 to a room; double beds) $940

Key Club ADULT (Guest /Adult Chaperone/Sponsor) ICON ONLY Regsitration (king bed) $1360

How Many Key Club (Student) District Tour & ICON Registration (QUAD room) for a total of $1200?

June 29th-July 6th

How Many Key Club (Student) ICON ONLY Registration (QUAD room) for a total of $700?

July 2nd-6th

How Many Key Club (Student) District Tour & ICON Registration Triple room for a total of $1350?

June 29th- July 6th

How Many Key Club (Student) ICON ONLY Registration Triple room for a total of $775?

July 2nd-6th

How Many Key Club (Student) District Tour & ICON Registration Double room for a total of $1500?

June 29th -July 6th

How Many Key Club (Student) ICON ONLY Registration Double room for a total of $900?

July 2nd-6th

How Many Key Club (Student) District Tour & ICON Registration Single room for a total of $2175?

June 29th- July 6th

How Many Key Club (Student) ICON Only Registration Single room for a total of $1325?

July 2nd-6th

How Many Key Club ADULT (Guest /Adult Chaperone/Sponsor) District Tour & ICON Registration double room for a total of $1500?

June 29th-July 6th

How Many Key Club ADULT (Guest /Adult Chaperone/Sponsor) ICON ONLY Registration double room for a total of $940?

July 2nd -6th

How Many Key Club ADULT (Guest /Adult Chaperone/Sponsor) District Tour & ICON Registration single room for a total of $2175?

June 29th- July 6th

How Many Key Club ADULT (Guest /Adult Chaperone/Sponsor) ICON ONLY Registration and a single room for a total of $1360?

July 2nd- 6th

Checks payable to Georgia District Key Club and mail to: GA Key Club P. O. Box 6618 Macon, GA 31208

My Products

Payment Plan #1- Due by March 25th$350.00

Payment Plan #1 (Down Payment) of $350 due by March 25th

Key Club Student - District Tour & ICON

How Many Key Club (Student) District Tour & ICON Registration (QUAD room: June 29th-July 6th) for a total of $1200?$1,200.00

**All students that register at this rate will be roomed with other clubs unless three members of the same gender and club are registered. All rooms contain two queen beds and the three members will share the beds. ** Additional fees will be required if a club does not want other students sharing a room.

Quantity
Item subtotal:$0.00

How Many Key Club (Student) District Tour & ICON Registration (Triple room: June 29th-July 6th) for a total of $1350?$1,350.00

**All students that register at this rate will be roomed with other clubs unless two members of the same gender and club are registered under the same room choice. All rooms contain two queen beds and the three members will share the beds. ** Additional fees will be required if a club does not want other students sharing a room.

Quantity
Item subtotal:$0.00

How Many Key Club (Student) District Tour & ICON Registration (Double room: June 29th - July 6th) for a total of $1500?$1,500.00

**All students that register at this rate will be roomed with other clubs unless another member of the same gender and club are registered under the same room choice. All rooms contain two queen beds and the three members will share the beds. ** Additional fees will be required if a club does not want other students sharing a room.

Quantity
Item subtotal:$0.00

How Many Key Club (Student) District Tour & ICON Registration (Single room: June 29th - July 6th) for a total of $2175?$2,175.00

Quantity
Item subtotal:$0.00

Key Club Student - ICON ONLY

How Many Key Club (Student) ICON ONLY Registration (QUAD room) for a total of $700? $700.00

**All students that register at this rate will be roomed with other clubs unless three members of the same gender and club are registered for the same room choice. All rooms contain two queen beds and the three members will share the beds. ** Additional fees will be required if a club does not want other students sharing a room.

Quantity
Item subtotal:$0.00

How Many Key Club (Student) ICON ONLY Registration (Triple room: July 2nd-July 6th) for a total of $775?$775.00

**All students that register at this rate will be roomed with other clubs unless two members of the same gender and club are registered under the same choice. All rooms contain two queen beds and the three members will share the beds. ** Additional fees will be required if a club does not want other students sharing a room.

Quantity
Item subtotal:$0.00

How Many Key Club (Student) ICON ONLY Registration (Double room: July 2nd -July 6th) for a total of $900?$900.00

**All students that register at this rate will be roomed with other clubs unless another member of the same gender and club are registered under the same choice. All rooms contain two queen beds and the three members will share the beds. ** Additional fees will be required if a club does not want other students sharing a room.

Quantity
Item subtotal:$0.00

How Many Key Club (Student) ICON ONLY Registration (Single room: July 2nd -July 6th) for a total of $1325?$1,325.00

Quantity
Item subtotal:$0.00

Key Club ADULT (Guest /Chaperone/Sponsor) ICON ONLY

How Many Key Club ADULT (Guest /Adult Chaperone/Sponsor) ICON ONLY Registration (double room: July 2nd - July 6th) for a total of $940?$940.00

All non-Key Clubbers attending the convention, including Kiwanians, Guests, Board Parents, etc. should use the registration options available for Guest/Adult Chaperone/Sponsor. All guest that register at this rate will be roomed with other adults of the same gender in a room with two double beds. ** I understand that all adults registering to attend the 2025 Georgia District Key Club events have cleared a limited criminal history background check within the past two years from Kiwanis International through the guidance of the Youth Protection Program.

Quantity

How Many Key Club ADULT (Guest /Adult Chaperone/Sponsor) ICON ONLY Registration (single room: July 2nd - July 6th) for a total of $1360? $1,360.00

All non-Key Clubbers attending the convention, including Kiwanians, Guests, Board Parents, etc. should use the registration options available for Guest/Adult Chaperone/Sponsor. All guest that register at this rate will be roomed with other adults of the same gender in a room with two double beds. ** I understand that all adults registering to attend the 2025 Georgia District Key Club events have cleared a limited criminal history background check within the past two years from Kiwanis International through the guidance of the Youth Protection Program.

Quantity

Key Club ADULT (Guest/Chaperone/Sponsor)- District Tour & ICON

How Many Key Club ADULT (Guest /Adult Chaperone/Sponsor) District Tour & ICON Registration (double room: June 29th - July 6th) for a total of $1500?$1,500.00

All non-Key Clubbers attending the convention, including Kiwanians, Guests, Board Parents, etc. should use the registration options available for Guest/Adult Chaperone/Sponsor. All guest that register at this rate will be roomed with other adults of the same gender in a room with two double beds. ** I understand that all adults registering to attend the 2025 Georgia District Key Club events have cleared a limited criminal history background check within the past two years from Kiwanis International through the guidance of the Youth Protection Program.

Quantity

How Many Key Club ADULT (Guest /Adult Chaperone/Sponsor) District Tour & ICON Registration single room for a total of $2175?$2,175.00

**All students that register at this rate will be roomed with other clubs unless three members of the same gender and club are registered. All rooms contain two queen beds and the three members will share the beds. ** Additional fees will be required if a club does not want other students sharing a room.

Quantity
Item subtotal:$0.00

Enter coupon

Total $0.00

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2025 GA Key Club District Tour and ICON Registration Form

ICON Room Accommodations

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Cancellations or Refund Policy

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