District 65 Annual Conference Registration
Toastmasters District 65 Annual Conference Registration Form
Please fill out one form per person. If you are bringing a guest to the banquet, see below.
Club Name & Number * Email * Would you like to receive text alerts during the conference? Demographics Check and complete if any of the following applies to you: * If District or Club Officer, please indicate role: If Contestant, which contest – Evaluation, International, or Humorous? If you are a recipient of the scholarship incentive, please indicate. Conference Options
Have it your way! You can choose your conference experience.
Please select your option(s): *
Full Conference includes Meet & Greet Reception, Friday Entertainment, Keynote, Workshops, Council Meeting, and Contests.
Full Conference Meals include: Saturday Breakfast, Saturday Luncheon with C&L Award Recipient, Saturday Banquet, and Sunday Breakfast
For a guest, please note meal choice in the indicated area.
Please choose your meal
All meals come with traditional Caesar salad, warm rolls, Chef's choice of starch, vegetable, dessert, and freshly brewed coffee or hot tea.
Please indicate dietary needs Please describe any dietary or physical restrictions you have or require to enjoy the conference: If applicable, enter guest's full name along with meal choice here: