Preferred Room Assignments for PNW District Convention 2019
Hello! If you are completing this form then you are a representative of your club or your club president and attending the 57th Annual Pacific Northwest CKI District Convention in Hood River, OR! We appreciate you taking the time to fill this form out BEFORE District Convention on February 8-10.

For more information please contact District Governor Esmeralda Hernandez (hernane5@wwu.edu). Thank you!

Name *
Your answer
School *
Your answer
Email address *
Your answer
Position *
Your answer
Are you attending DCON 2019? *
Room Groupings
For each room below, please write the names of up to 4 individuals who would like to room together. If any one of your rooms does not have 4 individuals listed, the district board will place other individuals into the room to make it a full 4.
Room 1
Your answer
Room 2
Your answer
Room 3
Your answer
Room 4
Your answer
Room 5
Your answer
Room 6
Your answer
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