Registration

 

 
In order to administer your correct status and your ribbons, would each Kiwanian please register separately.
   
 First Name                 Last Name                
 Highest achieved office      
   
 Are You... (Please check all that apply)  
   
 

Are you are a voting delegate? After you have registered for the convention ask your club secretary to complete the voting delegate registration. (Available on ECC website)

  Are you a current LG who will be serving as your Division's LG next year as well?
  Are you a First Timer?  
  Are you a KI Life Member?  
  Are you a recipient of a KF of Canada Mel Osborne?
  Are you inscribed on the Tablet of Honour?
  Are you a recipient of a KIF George F. Hixson Award?
  Are you a recipient of a KFJ Godfrey Dyer Award?
  Are you a Past Governor?  
  Are you a Past Lt. Governor?  
  Are you a District Committee Chair?  
   
 Are you going to need a headset for simultaneous interpretation in English or French?
       
 Club Name Division # Kiwanis Club of
 Mailing Address
 City
 Province Postal Code
 Country    
 Telephone (Home) Telephone (Work)
 Email Address    
       
       
 If you will be registering a Guest please enter your guest's name so that we can prepare a name badge.
       
 Guest's Name: First     Last  My Guest is a Kiwanian
Names of Additional Guests:
(please separate each additional name with a comma)
         
   
 
Special Food /  Physical Requirements
  
     
If you will be registering children (16 and under) for our youth program, please tell us their names, ages and T-Shirt sizes:
      
 Name     Age           T-Shirt Size
 Name     Age           T-Shirt Size
 Name     Age           T-Shirt Size
 Name     Age           T-Shirt Size
 Adult T-Shirt Size    
     
 Registration Fees (Canadian Dollars)
NOTE: If you have already registered but missed signing up for the Tours or NB Night click here. Only use this link if you are already registered. Pre-paid
by June 1		 Pre-Paid
By July 30		 Onsite
Registration		 Number Total
 Kiwanian $275 $295 $325   $
 Guest $180 $200 $225   $
 Children (16 & under) $75 $75 $90   $
 Celebration Breakfast $10 $10 $10   $
New Brunswick Night Dinner and Dance
Friday August 6		 $45 $45 $45   $
Tour 1: Bus Tour of St. Stephen and St. Andrews
Thursday August 5		 $50 $50 $50 $
Sorry Cruise is sold out! Do not choose     $
 Grand Total $
Note: New Brunswick Night description can be found under the tours tab.
 

Be sure to print the confirmation page that will appear after you register. Confirmation will also be e-mailed to you after your credit card is processed. Please save it as proof of registration. No other documents will be sent by District Office or the Host Committee.

 

Get Acrobat ReaderIf you would prefer to download a copy of our registration form, fill it out and either mail or fax it to us please click here. Take note, not all events are on the form be sure to add them before faxing. Acrobat Reader, is required.

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