Capital District

                              District Leadership Conference

                                            May 31, 2008

                                        Hospitality House

                                       Fredericksburg, VA

 

      

Full Name ___________________________________________    Name on Badge _______________________

Kiwanis Club __________________________________

Email_________________________________________ Phone Number ________________________________

Leadership Position (Check all that apply.)

      

       LTG-Designate   Division _________

               Travel time one-way: _____________ hours

 

   LTG-Elect Division   ________________                       

   Travel time one-way    __________hours

 

 

       Club Support Committee   Name____________________________________

       Travel time one-way: _____________ hours

 

       Club Support Committee Chair

 Name of Committee _____________________________

   Travel time one way: ______________hours

 

    District Trustee   Region _____________                       

    Travel time one-way ___________hours

 

 

Meals provided to the attendees depends on the position of the attendee. (See meal and room pages for details.) You may

attend other meals at your own expense. Indicate all conference meals you will attend.

      

Provided by Conference                                 Reimbursable for People Staying Friday Night

Saturday Lunch   _____                                Friday Dinner _____                     Vegetarian ____

Vegetarian _____                                                    Saturday Breakfast _____             Vegetarian ____      

                                                                                    

Make room reservations for the conference by April 25, 2008. Make your own room mate arrangements. I

      

       o Am not staying at the Hospitality House

    

       o Do not desire a room mate (You will be responsible for one half the room cost)

      

       o Will room with __________________________________________

 

      

Please send your registration for the District Leadership Conference by regular mail or email to:

      

                         Charles P. Adams, Meetings Chairman              govadams@aol.com

                            1601 Charrington Drive

                            Midlothian, VA 23113