Rotary District 6920 Conference Main

All Clubs Conference Rotary 6920
Annual Meeting for all District 6920 Rotary Clubs

 

REGISTRATION FORM

April 30, May 1-2, 2021 at Valdosta GA.

PLEASE READ THE NOTES BELOW
Registration notes and meal prices are included below.

REGISTRATION FEES: This year there is no registration fee for Members, Spouses, Guests and Children. Your Conference fee had been pre-paid from the District Dues which you pay through your club Treasurer. All Conference participants will be registered and will receive an ID Badge. Food purchase is up to you as you choose.

FAMILIES or GROUPS: This Registration format allows all persons in a party to be registered on the same form. Note that names are required for all guests.  Meal selections should be made as the total requested for the entire group (yourself and all guests)

FRIDAY LUNCH  Local club participants should register even if they only intend to attend Friday Lunch.
If you are from a local Rotary Club, your Club may have agreed to pay for their Member's Friday lunch . If so, the cost for the lunch will be subtracted from your cost total below.

CONFERENCE GUESTS The following titles are Conference Guests and will not be charged for their meals.
Speaker, Speech Contest Contestant, Group Study Exchange, GRSP Student.


MEALS:
Select total meals for all adults and children 12 and older.
Adult Meals -  Adults and Children 12 and older:
o
     Meal Package - All Meals
         $180 until April 9 / $200 April 9 to April 17 / $220 After April 17
       Individual Meals:  
o
      Friday Lunch  -
            $30 until April 9 / $35 April 9 to April 17 / $40 After April 17
o
      Friday Dinner 
            $50 until April 9 / $55 April 9 to April 17 / $60 After April 17
o
      Saturday Breakfast -
            $28 until April 9 / $33 April 9 to April 17 / $38 After April 17
o
      Saturday Dinner     
            $55 until April 9 / $60 April 9 to April 17 / $65 After April 17
o
      Sunday Brunch -
            $28 until April 9 / $33 April 9 to April 17 / $38 After April 17
     
Young Child Meals
Select total meals
          for children 11 and younger.  The menu can be selected.
o
        Children Friday dinner   $17
o
        Children Saturday dinner   $17
 

 

REGISTRATION

 

**Red asterisk fields are required:

                                                   

**First Name:  

   **Last Name:     Nick Name:

Email:  

  (optional)  If email address is supplied, you will get copy of your registration form.

         **Rotary   Member ?     Yes    No

         If a Rotarian >    Please select Club Name  and Rotary title.

Club Name:  

   Title:  
 

 

REGISTRATION for SPOUSE/ PARTNER and GUESTS

Will your Spouse/ Partner attend ?     

Yes    No 

Spouse/ Partner Name : (First & Last)   

         If Spouse/Partner is a Rotarian, Select title and club from lists below.

 Spouse/ Partner Club:   
Spouse/ Partner Title:   

      ----------------------------------------------------------------------------------------------------------------

        Please enter the number of guests --in addition to yourself and your Spouse/ Partner. 
        And enter First & last names below.  Separate guest names with commas.

Number of  Additional Adult Guests        
(not yourself  or spouse
)        

    Names: 

  Number of Child Guests      
(11 years and younger)       

    Names: 

 

SELECT ADULT MEALS
Select total meals for all Adults and children 12 and older. 
Meal fee schedule is shown above in notes
 

         Meal Package -  All meals :       
         Friday Lunch :       
         Friday Dinner :       
Saturday Breakfast :       
Saturday Dinner :       
         Sunday Brunch :       
        
                   List any diet restrictions for  attendees.  Include name of attendee and diet issue: 
             
    
 

SELECT CHILD MEALS 
Select total meals for all
Children ages 11 and younger.
 

        Children's  Friday Dinner:       ($17)    
        Children's  Saturday Dinner:       ($17)    
            

 

FOUNDATION GRANTS TRAINING
Please indicate if you will attend Foundation Grants Training for your club.

Are you a club representative for Grants Training ?   

  Yes       No   Please select

CHECKOUT
              2 Steps - (1) Select your method for payment  (2) Transmit form to registration office

                   Optional Note to Registration Office:
                  
 

         Select Method of Payment:     

  Pay online with a Credit Card
  Mail a check
                      

       Registration Fee Cost (should be 0 - no  fee this year) : $        Food Cost: $    

                                      Your total registration cost is:  $