Kentucky-Tennessee District of Key Club International
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2019 DCON Registration (TEST)

FOR DCON CREDIT CARD PURCHASES ONLY

This form is for Credit Card purchases only. If you're paying by check, please download the registration form and mail the completed form along with your check (made out to Kentucky-Tennessee Key Club District) to Steve Phillips, P.O. Box 188, Flinstone GA, 30725.

NOTE: There is a handling charge that is added when paying by credit card. The handling charge per transaction is 2.9% of the total + $0.30.

  • 1. Club Information

  • 2. Rooming List

    List all students and adults attending in the rooming list below.
  • 3. Delegates

    Each club is entitled to two (2) voting delegates.
  • 4. Advisors/Designated Chaperones

    All students attending the convention must have an advisor or an adult to serve as the club’s designated chaperone. Key Club International requires that a designated chaperone must be a Kiwanian, faculty member, parent, legal guardian, or person In loco parentis, who is over the age of 21, cleared and approved by the school, and registered with and accompanying the students at the convention.
  • Spouses and children of advisors registered for the convention may attend the convention and stay in the advisor’s room at no extra charge if they are not participating in convention activities. List their names in the room with the advisor as family members not attending the convention. The advisor would pay the single rate for that room.
  • 5. Payment for:

  • Price: $170.00 Quantity:
  • Price: $189.00 Quantity:
  • Price: $219.00 Quantity:
  • Price: $319.00 Quantity:
  • *Bus drivers do not have to register for the convention if they are not going to attend convention activities. The room rate for bus drivers not participating in convention activities is $130 per room per night. *If a club wishes to arrive on Thursday instead of Friday, add $130 per night for each room reserved.
  • Price: $130.00 Quantity:
  • Price: $130.00 Quantity:
  • Price: $125.00 Quantity:

  • If you have questions or need more information contact Steve Phillips at 423-508-4885 or e-mail sphillips@ktkey.org.

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