Testing – District Convention Registration

Online Registration closes July 20, 2025

Name(Required)

First Last

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Phone(Required)

Email(Required)

Kiwanis Club of(Required)

Division(Required)

Kiwanis Position in 2024-25(Required)

Club Member, Club Board Member, Club President, District Chair, LtG, etc

Dietary Restrictions

Meal Selection

Fri	Fri	Fri	Sat	Sat	Sat	Sun	Total	Actions

There are no Meal Selections.

Click “Add Meal Selection” to add your meal choices. If you do not wish to have any meals, please still click “Add Meal Selection” and submit with “No Meal” selected for each option.

Registration Fee

Price:

Meal Total

Price: $0.00

Would you like to register an partner or spouse?

Yes

Partner/Spouse Information

Partner/Spouse Name(Required)

First Last

Is your Partner/Spouse a Kiwanian?

Yes

Partner/Spouse Kiwanis Club of(Required)

Partner/Spouse Division(Required)

Partner/Spouse Kiwanis Position in 2024-25(Required)

Club Member, Club Board Member, Club President, District Chair, LtG, etc

Partner/Spouse Dietary Restrictions

Partner/Spouse Meal Selection

Fri	Fri	Fri	Sat	Sat	Sat	Sun	Total	Actions

There are no Meal Selections.

Click “Add Meal Selection” to add your meal choices. If you do not wish to have any meals, please still click “Add Meal Selection” and submit with “No Meal” selected for each option.

Partner/Spouse Registration Fee

Price:

Partner/Spouse Meal Total

Price: $0.00

Payment Information

Payment Method(Required)

Credit Card / PayPal

Check (Must be postmarked by July 21, 2025)

Include PayPal fees?

Yes

PayPal Fee

Price: $0.00

Total

Credit Card / PayPal(Required)

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code

Kids Need Kiwanis

Testing – District Convention Registration

Partner/Spouse Information

Payment Information