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Capital District
Chartered in 1918
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2025 Capital District Kiwanis Convention
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2025 Capital District Key Leader Event
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2025 District Convention Registration Form
Each Kiwanis member attendee must complete the form individually.
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*
" indicates required fields
Date
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Attendee Name
*
First
Last
Address
*
Street Address
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Phone
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Kiwanis Club
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Abingdon
Accomack, Onancock
Alexandria
Alleghany Highlands
Arlington
Ashland
Bassett
Beckley
Bethesda
Blue Ridge, Winchester
Bluefield
Botetourt County, Troutville
Bridgeport
Bridgeville
Capital – Next Generation e-Club
Carrollton
Central Chesterfield
Charles Town
Charlottesville
Chesapeake
Chester
Chincoteague
Christiansburg
Churchland, Portsmouth
City Center Newport News
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Clinch River, Richlands
Clinchco
Clintwood
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Colonial Heights
Commodore Mayo, Mayo
Council
Crofton
Danville
Delbarton
Delmar
Dinwiddie
East Huntington
Elkins
Elkton
Ellicott City
Fairfax
Fairmont
Far East Washington
Forest
Frederick, MD
Fredericksburg
Front Royal
Georgetown
Gilbert
Gloucester
Grafton
Great Bridge-Chesapeake
Greater Hilton
Greater Landover
Greater Millsboro
Greater Nitro Area
Greater Ocean Pines-Ocean City
Greenbrier Valley
Grundy
Hagerstown
Hampden-Midtown, Baltimore
Harrisonburg
Haymarket-Gainesville
Haysi
Hinton
Hopewell
Huntington
Hurley
Jackson River Area
Keyser
Kiln Creek, VA
Leesburg
Leisure World, Silver Spring
Loch Raven
Logan
Lynchburg
Lynnhaven-Virginia Beach
Manassas
Marion
Marshall County
Martinsville
Mathews
McClure River
Mercer County
Mercury 64, Hampton
Middlesex, Saluda
Midlothian-Chesterfield
Mitchellville
Montgomery County-Blacksburg
Montgomery Village
Morgantown
Mount Airy
Mount Vernon, Fairfax County
Norfolk
North Parkersburg
North Suffolk
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Norton
Ocean View Beach, Norfolk
Old Point Comfort, Hampton
Old Town
Parsons
Petersburg
Pocomoke City
Poquoson
Portsmouth
Prince Georges County
Radford
Reisterstown
Richmond
Roanoke
Rockbridge
Rockville
Salem
Salisbury, MD
Seaford
Shenandoah Valley, Staunton
Shepherd Park, Washington
Shepherdstown
Short Pump
Smithfield
South Arlington
Southwest Waterfront Washington DC
St Paul-Castlewood
St. Albans
Staunton
Strasburg
Suffolk
Suncrest Area, Morgantown
Toano
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Tri-Rivers (The)
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Virginia Beach Virginia, Town Center
Waldorf
War
Washington
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Wheaton-Silver Spring
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Division
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2024-2025 Office Held
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Member
Club Committee Chairperson
Club Director
Club President
Club President-Elect
Club Vice President
Club Secretary
Club Treasurer
District Committee Chairperson
District Convention Chairperson
District Editor
CKI Governor
Key Club Governor
Lt. Governor-Elect
Lt. Governor
Regional Trustee
Vice Governor
District Governor-Elect
District Governor
Executive Director
Immediate Past Governor
Kiwanis Area Director
International Trustee
KI Counseling Trustee
Will you be bringing a guest?
*
No
Yes
Guest Name
For printed name badge. Please note: guests will not receive convention program or souvenir
Are you a First Time Attendee of District Convention?
*
No
Yes
Registration Options
Kiwanis Registration Options
*
Package Registration (includes meals) – $200/$225 (after 7/25)
Registration Only (no meals included – can be purchased separately below) – $40/$50 (after 7/25)
Package Registration includes registration materials, Friday Night Entertainment, Saturday Breakfast, Lunch, and Dinner and Sunday Breakfast.
Friday Leadership Luncheon (by invitation only) – $30.00
Quantity
Price:
$30.00
Quantity
Open to all 2024-25 or 2025-26 District Officers, Committee Chairpersons and Key Staff along with their guests
A la carte Meals (for Kiwanians not purchasing the package or for adding spouse meals)
Friday Night Entertainment – $25 (included in package)
Quantity
Price:
$25.00
Quantity
Saturday Breakfast – $30 (included in package)
Quantity
Price:
$30.00
Quantity
Saturday Fellowship Luncheon Session – $35 (included in package)
Quantity
Price:
$35.00
Quantity
Saturday Governor's Banquet Session – $50 (included in package)
Quantity
Price:
$50.00
Quantity
Sunday Inspirational Breakfast Session – $30 (included in package)
Quantity
Price:
$30.00
Quantity
Kiwanian/Guest – Strict Dietary Requirement (please check if applicable)
Vegetarian
Other Allergy
Spouse/Guest – Strict Dietary Requirement (please check if applicable)
Vegetarian
Other Allergy
Other Allergies
(Optional) Donation to In-House Service Project
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2025 District Convention Registration Form