CKI Fall Member Rally Registration

This year’s CKI Fall Member Rally will take place from Saturday, November 4th – Sunday, November 5th, 2023 at the Northern Virginia 4-H Educational Center in Front Royal, VA. To attend, please register here.

Name(Required)

First Last

Badge Name (if different than First Name)

Phone(Required)

Email(Required)

First Time Attendee(Required)

Elected Office for 2023-2024(Required)

CKI Club or Kiwanis Club Name(Required)

Dietary Restrictions

Gender(Required)

All participants are required to stay at the 4-H center. You will be housed in rooms with bunk beds. If you have a preference of those you would like to stay with please list them here including gender preference. If you do not, leave this section blank. You are not guaranteed to be in a room with those that are listed. We will try to accommodate your requests as best we can. If you have any special requests or questions please reach out to District Administrator, Catie Dugan Vargas. Phone: 757-647-9942 Email: [email protected]

Roommate 1

Roommate 2

Roommate 3

Roommate 4

Roommate 5

I do not mind if I room with males or females.(Required)

Will you have turned 18 as of November 5, 2023?(Required)

Are you paying for yourself or is your club paying for you?(Required)

Please select your payment method below. For those registering by October 17th, the registration cost is $40. For those registering after October 17th, the registration cost is $50. You may choose to pay by check or online via Credit Card or Venmo. If choosing to pay by check, please mail to District Administrator Catie Dugan Vargas (1632 Fieldthorn Drive, Reston, VA 20194) or bring your check with you to the event. All payments are due at the start of the event.

Registration Option(Required)

Credit Card

Card Details

Cardholder Name

Kids Need Kiwanis

CKI Fall Member Rally Registration

Facebook Posts