13th Annual Colombe Convention/2nd Annual Junior Order Convention Registration
Thank you for expressing interest in attending the 2023 Colombe and Junior Order Convention! To confirm your attendance please  fill out the registration form below. Just  as a reminder, the convention will be held in Rosicrucian Park, San Jose, California from Wednesday, June 21st - Sunday, June  25th, 2023 and is open to Colombes, Colombes in Waiting, Colombe Emeritae and Junior Order members (ages 5-18).  We look forward to seeing you there.  Parents, Advisors, and Chaperones are also asked to fill out a separate registration.  

*A pdf version of the final program can be found on the Rosicrucian Community Site and one will be emailed to you once you have registered, along with the Parental Release forms that must be completed prior to participation.
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First Name (of participant) *
Last Name *
Membership Type (of participant) *
Member Key Number (Parents/Guardians) *
Email Address (of participant or a parent)
Participant's birth date *
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If under the age of 18, please add parent guardian contact information (Name, phone number and email address).
Do you have any dietary restrictions, allergies, or other medical conditions or concerns we need to be aware of? If so, please explain. *
Affiliated Body(ies) where you serve or participate (if unsure please put the State) *
Which Days/Events will you be attending? (Check all that apply) *
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