DCON 2021 Registration
Thank you for your interest in attending the Minnesota-Dakotas 60th Annual Circle K International District Convention! DCON 2021 will take place via Zoom on Saturday, February 20th and Saturday, February 27th from 2:00 pm to around 5:30 pm on both days. DOCN is a wonderful opportunity to connect with Circle K'ers from other clubs, run for various district officer positions, volunteer at a large-scale service project, and learn about club positions from district workshops!
PLEASE READ THESE INSTRUCTIONS before completing this form!
Use one registration form per attendee. The form must be filled out completely and will not be saved until you hit the SUBMIT button. Verification of your submission will be sent to your email. This form consists of registrant info, photo release, and event interests.
Due to DCON being online this year, it will be free of charge for anyone who wishes to attend. This registration is to be turned in by Wednesday, February 10th at 11:59 pm. This registration deadline is to gauge interest in the event and the various activities. This is not a hard deadline and members are able to sign up any time up until the event (February 20th or 27th)f, or even attend either day without signing up.
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Thank you for registering! If you have any questions please contact district events chair, Grace Tobin, at 507-340-0930 and
minndak.eventschair@gmail.com
or district administrator Jason Stewart at 330-831-4891 and
jstewartcki@gmail.com
.
* Required
Email address
*
Your email
First/ Given Name
*
Your answer
Preferred First Name (Nickname)
Your answer
Last/ Family Name
Your answer
Phone Number
Your answer
Address, City, State, Zip
Use your current address - the one you will be at during and/or directly after the event
Your answer
Is this your first time at the District Convention
*
Yes
No
K-Family Affiliation
*
Circle K International
Kiwanis
Key Club
Aktion Club
Builders Club
Check all that apply to you:
*
Circle K Club Member
Kiwanis Club Member
Kiwanis Advisor
Faculty Advisor
Club President
Club Vice President
Club Secretary
Club Treasurer
Club Bulletin Editor
Club Recruitment/Retention
Club Chair
Key Club Member
Circle K Alumnus
District Board Member
International Board Member
Parent/Family Member
Guest
Required
CKI Club Affiliation
*
Black Hills State University
College of St. Scholastica
Concordia College
Itasca Community College
Minnesota State University, Mankato
North Dakota State University
South Dakota School of Mines and Technology
University of Minnesota, Twin Cities
Winona State University
Other:
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