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  • Fall DLSSP Registration

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    taylorab11
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    The document is a registration form for the Fall 2013 DLSSP (District Leadership Seminar and Service Project) event held from September 13-15, 2013. It provides instructions for clubs to submit a completed registration form and $25 per member payment by September 8th. It requests attendees' contact information, whether it is their first DLSSP, any dietary restrictions, and notes on any special needs. A spreadsheet is included to list attendees.

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    This is the registration form for Fall DLSSP.

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    The document is a registration form for the Fall 2013 DLSSP (District Leadership Seminar and Service Project) event held from September 13-15, 2013. It provides instructions for clubs to submit a completed registration form and $25 per member payment by September 8th. It requests attendees' contact information, whether it is their first DLSSP, any dietary restrictions, and notes on any special needs. A spreadsheet is included to list attendees.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    43 views2 pages

    Fall DLSSP Registration

    Uploaded by

    taylorab11
    The document is a registration form for the Fall 2013 DLSSP (District Leadership Seminar and Service Project) event held from September 13-15, 2013. It provides instructions for clubs to submit a completed registration form and $25 per member payment by September 8th. It requests attendees' contact information, whether it is their first DLSSP, any dietary restrictions, and notes on any special needs. A spreadsheet is included to list attendees.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Registration Form: Fall DLSSP 2013

    Email a completed copy of this form (1 per club) to carolinasservicechair.cki@gmail.com

    **REGISTRATION DUE: Sunday, September 8th, 2013** **Cost: $25 per member**
    Payment (check) may be mailed to Michelle Pendergrass at the following address on turned in on site at DLSSP check in on September 13: Michelle Pendergrass 2717 Western Blvd, Apt 411 Raleigh, NC, 27606 DLSSP is Friday September 13- Sunday September 15, 2013 Questions? Email Michelle at the email address above All attendees will be required to sign a (1) code of conduct and (2) fill out a medical form NOTES: Special needs include dietary restrictions, physical limitations, etc. For non-Circle Kers, let me know if they are a Kiwanian, faculty advisor, guest, etc.
    Club: ________________________________ , Estimated arrival time(s) on September 13: _________________________ Mailing check or paying on site: ______________________________ Person completing the application-- please fill out the following: Name: _______________________________ Email: Phone number: ______________________ ___________

    *Spreadsheet on next page*

    Double Click to edit spreadsheet

    Name

    Email Address

    Phone # Gender M/F First DLSSP? Y/N


    N Y None

    Example Student Circle Ker@example.com 555-555-1234 M Y

    Vegetatrian Meals? Y/N Circle Ker? Y/N

    Explain any special needs

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