New York District Kiwanis

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2025 District Convention

Fields outlined in red are required.

More information is available on being a delegate.

Kiwanian

First Name:

Last Name:

Club:

Division:

Nickname for Badge:

Current Kiwanis Title:

E-Mail:

Will you be a club delegate?

Will you be an at-large delegate?

Spouse/Partner (if attending)

First Name:

Last Name:

Club:

Division:

Nickname for Badge:

Current Kiwanis Title:

First Timer?

Will you be a club delegate?

Will you be an at-large delegate?

First Names and Ages of Children if Attending:

Early rates will be charged until July 21, 2025. After that date, late fees will be charged.

Registration Fees and Ticketed Events
Function	Tickets Needed for All Events	Early Fee	Late Fee	Number
Kiwanian Registration		$85	$100
Non-Kiwanian Registration (Children Under 18 are free)		$25	$50
Friday Veterans Lunch	Friday	$45	$55
Saturday Foundation Breakfast	Saturday	$40	$50
Governor's Reception and Dinner	Saturday	$75	$85
Kiwanian Dinner Selection:	Spouse/Partner Dinner Selection:
Do you have any dietary restrictions?
Sunday Memorial Breakfast	Sunday	$40	$50
Sponsor Listing in Convention Program (Deadline is July 15)		$20	$20

Type numbers at right into box:

When you've completed the form, click on the Next Step button and continue to the confirmation screen.

Kiwanis is a global organization of volunteers dedicated
to improving the world one child and one community at a time.