2023 Rocky Mountain District Convention

Please fill out 1 form per Kiwanis Member

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Is this your first time attending a Rocky Mountain District of Kiwanis Convention? *

Yes

No

Which Club are you Representing? *

Are you a Delegate? *

Yes

No

CLICK HERE TO PRINT DELEGATE FORM

Are you or your club providing a Silent Auction Item? Benefiting the Rocky Mountain District Foundation.

Yes

No

Would your club like an exhibition table? - $30

Yes

No

Registration

The All Inclusive Bundle: Includes all activities, sessions and workshops. Includes Friday Breakfast & Lunch, Saturday Breakfast & Lunch and the Saturday night Governor's Dinner & Dance. Does not include the Friday night Social.

Plan on Swimwear, Beach-chic, & Luau attire for the Saturday night Dinner & Dance!

Kiwanian - required *

$225 All Inclusive Bundle

Guests - Please enter quantity

	Age 15 & up - $150 - Includes all meals & activities, excluding the Friday night social.
	Age 14 & under - Free

Please list Guest name's and ages:

CLICK HERE FOR BUFFET MENUS

Please list any Dietary Restrictions

Friday night 'Top Golf' Social - Please enter quantity

Located just 5 minutes from Great Wolf Lodge. Wings! Chips&Dip, Cheeses, Charcuteries, Hummus&Crudite and Injectable Donuts! Non-alcoholic beverages provided. Cash Bar available - Purchase required to attend - $40

Please list all names of those attending the Friday night Social

Kids Camp

Kiwanis kid camp may be available Friday and Saturday evening during social events for kids ages 9 and under. If available, how many children would you send? (this would be manned by fellow Kiwanis volunteers and Key club volunteers.)

Payment

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