New Customer Registration Form

Kappa Psi Northwest Province Summer Assembly Registration

July 11th-13th, 2025 Spokane, WA
Summer Province Assembly 2025 Agenda
Use code EARLYBIRD for $15 off the listed registration prices!

Collegiate Brother: $75 ($60 with discount)

New Graduate Brother (Class of 2025): $75 ($60 with discount)

Graduate Brother: $85 ($70 with discount)
Your Information:
Full Name*

First NameLast Name
Preferred Name (What will appear on your name tag)

First NameLast Name
Preferred Name
What will appear on your name tag.
Phone Number*
E-mail
example@example.com
Province*
Collegiate/Graduate Chapter*
Are you a NWP Officer or NWP Grand Council Deputy?*

YesNo
If yes to the previous question, write your position, or the Chapter you represent below.
How many Northwest Province Assemblies have you attended in the past?*
Do you have any dietary restrictions?*

VeganVegetarianGluten FreeDairy FreeFood Allergy (specify below)My dietary restriction is not listed (specify below)None
If food allergy was checked, or if you have any other dietary restrictions not listed, please specify here.
Need a place to stay? Choose the Courtyard by Marriott in Downtown Spokane for a discounted rate of $159 per night for 2 nights!
Hotel Reservation Link

Book now before rooms fill up! Courtyard by Marriott Downtown Spokane is located on the Spokane Riverfront (401 North Riverpoint Boulevard Spokane, WA 99202), and is a few minute walk to the WSU Spokane Campus, where the majority of our events will be hosted.
Will you be staying at the Courtyard by Marriott in Downtown Spokane?*

YesNoUnsure
Will you be bringing a guest to our Saturday evening events? (A guest is a non-Kappa Psi brother, allowed at our social events Friday and Saturday night, $30 per guest)*

NoYes
If yes was selected, please fill out the attached non-brother guest registration form

https://form.jotform.com/250921772819161

YOUR GUEST WILL NOT BE REGISTERED UNTIL THE FORM ATTACHED IS FILLED OUT (and you have paid the guest fee down below)!
Interested in purchasing Northwest Province Apparel? Click the links down below to order!

Available for pre-order until 06/11/25 at 9PM (PST). Please note images are computer generated, actual apparel will have the images centered and fully on the front of the tops.
Kappa Psi Northwest Province Merchandise

Click Here to Order!
Spokane Summer Province Assembly 2025 Merch

Click Here to Order!

Curious about the flowers? On the left is a lilac, as Spokane is known as the "Lilac City", and on the right is a carnation, Kappa Psi's flower!
Registration Payment
Use code EARLYBIRD for $15 off registration!

Valid until 06/18/25

My Products*

Collegiate Brother Registration

$75.00

New Graduate Brother (Class of 2025)

$75.00

Graduate Brother Registration

$85.00

Non-KY Brother Guest Registration$30 per guest, remember to fill out the form attached above.

$30.00 Quantity

Add a DonationHelp make our Spokane Summer Province (the first in over a decade) a blast!

$5.00

Amounts	Quantity	Price
$5		$5.00
$10		$10.00
$20		$20.00
$50		$50.00
$100		$100.00

Enter coupon

Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Should be Empty:

Kappa Psi Northwest Province Summer Assembly Registration

Summer Province Assembly 2025 Agenda

Need a place to stay? Choose the Courtyard by Marriott in Downtown Spokane for a discounted rate of $159 per night for 2 nights!

Hotel Reservation Link

Interested in purchasing Northwest Province Apparel? Click the links down below to order!

Spokane Summer Province Assembly 2025 Merch

Registration Payment