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*(MAKE A COPY FIRST, DO NOT EDIT)* - District Convention 2022 Club Registration
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District Governor's Welcome
General Information
Name
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Pronouns
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Gender
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Phone Number
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Email
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Position in Home Club
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Are you a DCON Committee Member?
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Are you a GRADUATING SENIOR?
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If you are a GRADUATING SENIOR, but continuing in school, where will you be going to school next?
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General Questions (cont.)
Dietary Preference
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Please note any food allergies (if any)
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T-shirt Size
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Registration Forms + Fees
Are you registering under Early or General Registration?
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I have printed out, completed, and gave my ATTENDANCE AGREEMENT to my club representative
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I have printed out, completed, and gave my CODE OF CONDUCT AND DRESS CODE to my club representative
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I have printed out, completed, and gave my RELEASE OF LIABILITY to my club representative
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I have printed out, completed, and gave my COVID WAIVER to my club representative
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Proof of COVID-19 Vaccinations
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Closing Remarks
Questions, comments, or concerns?
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