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Chartered in 1918
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2024 CKI Fall Member Rally
Name
(Required)
First
Last
Pronouns (Optional)
Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
Phone
(Required)
Email
(Required)
Branch
(Required)
CKI
Key Club
Kiwanis
Other
Club Name
(Required)
Gender
(Required)
Woman
Man
Non-Binary
Prefer Not To Say
Prefer to self describe below
Gender (Self-Describe)
2024-2025 Office Held (Optional)
Dietary Restrictions
(Required)
No Dietary Restrictions
Other (please notify
[email protected]
)
Vegetarian
Vegan
Pescetarian
Gluten-Free
Dairy-Free
Kosher
What is Your Sleeping Arrangement Preference?
(Required)
I am fine to be paired with roommates of any gender.
I prefer to be paired with roommates of the same gender.
Do you have any accessibility requests? (Optional)
Do you have any other requests related to your attendance at this event? (Optional)
Do you have any medical or other allergies that we should be aware of?*
Emergency Contact Name
(Required)
Emergency Contact Phone
(Required)
Code of Conduct
(Required)
I agree to the CKI Code of Conduct for this event.
• The use of illegal drugs or the misuse of prescription and over the counter drugs will not be tolerated.
• The CKI Sponsored Conventions and Events Alcohol Policy will be enforced at all times during the event.
• Subject to the discretion of the CDCKI Administrator, any member, adult volunteer or guest may be disciplined up to and including removal from the event for the appearance of being under the influence of alcohol, drugs or other illegal substances, for being disruptive or for conducting oneself in a disorderly manner.
• Sexual harassment is defined as behavior marked by aggressive or harassing remarks, unwanted physical or online contact or sexual advances, requests for sexual favors, or other online, verbal or physical conduct of a sexual nature which is unsolicited and offensive to the individual or otherwise creates an intimidating, hostile, or offensive environment. CKI will not tolerate sexual harassment. Any member experiencing or witnessing this behavior is highly recommended to report it to the CDCKI Administrator or the Youth Protection Hotline immediately.
• Members acknowledge that they are responsible, legally and morally, for what they say and post online. Members should not post any items including but not limited to those that:
o Promote, endorse, or condone violence;
o Promote, endorse, or condone discrimination on the basis of race, color, creed, national origin, age or sex, including sexual orientation and gender identity;
o Impugns the character or integrity of another member, Kiwanis volunteer or staff member.
• No campaign material will be allowed to be posted on any walls, windows, or doors. The candidate will be responsible should this occur.
• Room assignment changes must be made by the CDCKI Administrator.
• Smoking is prohibited at all general sessions, contests, workshops, and caucuses. Individuals who wish to smoke must do so in areas where permitted.
• Care shall be taken not to deface or destroy any property. Any damages will be paid for by the individual responsible.
• All CKI members are expected to conduct themselves as responsible, professional men and women and are required to attend all sessions and activities.
• Every attendee will respect the authority of the CDCKI Administrator, Kiwanis Officers and the Sergeant-at-Arms Committee.
• Infractions of the code of conduct will be reported to the CDCKI Administrator. Appropriate action will be taken for any infraction, including the dismissal of any attendee from the event at the expense of the individual.
• The code of conduct is in effect from the moment an attendee arrives at the event until the moment he or she departs.
Registration Option
(Required)
Early Registration (through 10/6) – ($65.00)
Late Registration (after 10/6) – ($75.00)
If you have been given a coupon code, enter it here
Total
Credit Card
(Required)
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Expiration Date
Month
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
Year
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
Security Code
Cardholder Name
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2024 CKI Fall Member Rally
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