NOTE: For online CARD payment registrations only.
This form can be used to register for the 2026 District A15 Convention, April 17-19, 2026
Sign in to Google to save your progress. Learn more
Email *
First Name
Last Name
Badge Name -  indicate how you want your name to appear. For example : Mary Smith, PDG John Doe, Tall Timmy or Lucky Louie, etc.
Address
City / Town / Municipality
Postal Code
Membership
If a Lion or Leo Member, which District? :
If a Lion or Leo, which Club? :
Indicate your Current (or Highest Office) held in Lions:
If Other above, which Lion/Leo position held:
Are you a new Lion since April 7, 2025? *
Is this your first District A15 Convention? *
Telephone Number:
Registration *
Convention Pins
Draw Tickets - 5.00/per ticket
(NOTE: Tickets will be included in your convention package)
Saturday Convention Luncheon: *
Saturday Convention Banquet: *
HOSPITALITY ROOMS
           Note: Hospitality rooms are available on a first come first serve basis. For more information, contact Lion Dave Biehler @ (905) 648-7996 or email: daveb@comchoice.ca
Do you require a Hospitality Room?
Any dietary concerns.
HOTEL ROOMS
         Guests at the hotel are to make their own room reservations directly by calling the hotel office at (519) 753-8651 and mention you are with the "Lions District A15 Convention (April 17-19, 2026)" for the special rate of $129.00 plus taxes (BONUS: Buffet breakfast included for 2 per night's stay)

          Limited number of rooms are available at this special rate until March 15, 2026.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of District A15 Lions.

Does this form look suspicious? Report

Google Forms