Request edit access
Undergraduate Convention Registration
August 10-13, 2017 in Naples, Florida at the Naples Grande Beach Resort
Registration - Thursday, August 10 from 10:30 am - 1:45 pm

Each chapter/colony is required to send two delegates to Convention.

If for some reason you are unable to attend after registering,
please contact Director of Chapter Services Michele Peterson at

Look out for more information in July, and we'll see you in Naples!

First Name
Your answer
Last Name
Your answer
Example: Epsilon Eta
Your answer
Example: LSU
Your answer
Position within the chapter
Example: Prior or Exchequer
Your answer
Email Address
Your answer
Cell Phone Number
Your answer
Emergency Contact - Name and Relationship
Example: Sara Smith - Mother
Your answer
Emergency Contact Phone Number
Your answer
T-shirt size
Polo Size
Polos run big - please keep that in mind when selecting a size
List any dietary restrictions or allergies
If none, put NA
Your answer
How will you be traveling to Convention?
Reminder that the cost and coordination of travel is the responsibility of the delegates/chapter. Please see the travel section on the Convention website for details before booking any flights. Please make sure to account for the travel time between the airport and hotel (as that varies by airport). Ground transportation from the airport to hotel is the responsibility of the chapter/delegates. See the Convention Information at for recommendations.
Estimated day of arrival?
Estimated time of arrival?
ONLY RESPOND IF YOU ARE TRAVELING IN THE DAY BEFORE. Will you need a room at the hotel the night before?
Due to your location, you might need to travel in the evening before. The cost for the hotel room is $130 and the delegates/chapter will be responsible for that.
Never submit passwords through Google Forms.
This form was created inside of Sigma Alpha Mu Fraternity. Report Abuse - Terms of Service - Additional Terms