REGISTRATION FORM
DISTRICT WIDE EVENTS

To be filed 2 weeks prior to event

Friday July 30, 2010
Event: Date of Event:
Club Name: Date Submitted:
Club Contact: Position:
Street:
City:    
Postal Code:    
Phone: E-mail:
Notes:

Please list below, the names (and office(s) held) of those attending including Advisors and Chaperones. List any dietary restrictions with the name of person.