Ohio District Optimist Convention Registration – Optimist International

4th Quarter – August 8-10, 2024

Embassy Suites Dublin, OH

Do you have questions before registering?

Registration Form

Ohio District Convention Registration 2023-2024 Q4

Club Name Club Name

Name, Number, Zone

Attendee Name 1

First

Last

Phone

Primary Contact Phone Number for your party

Primary Contact Email for your party

Attendee Type 1

If you are a a “Current Club Officer” please choose that instead of “Member”

First Conference 1

Is this the first time Attendee 1 has attended an Ohio District Meeting?

Convention Attendees

Including yourself, how many will be attending the convention?

Saturday Evening Banquet Attendees

The banquet is optional. How many in your party will attend the meal?

Registration Total

Method of Payment

Credit Card

PayPal

Check

Third Party

Payment

Friday Evening Dinner Attendees

This is optional and included in the registration fee. It helps determine the amount of food to order.

Meal 1

Meal Choice for Attendee 1

Dietary Restrictions 1

List allergies or other restrictions for Attendee 1

Attendee 2

Attendee Type 2

If you are a a “Current Club Officer” please choose that instead of “Member”

Attendee Name 2

First

Last

Meal 2

Meal Choice for Attendee 2

Dietary Restrictions 2

List allergies or other restrictions for Attendee 2

Attendee 3

Attendee Type 3

If you are a a “Current Club Officer” please choose that instead of “Member”

Attendee Name 3

First

Last

Meal 3

Meal Choice for Attendee 3

Dietary Restrictions 3

List allergies or other restrictions for Attendee 3

Attendee 4

Attendee Type 4

If you are a a “Current Club Officer” please choose that instead of “Member”

Attendee Name 4

First

Last

Meal 4

Meal Choice for Attendee 4

Dietary Restrictions 4

List allergies or other restrictions for Attendee 4

Other

Any other information we should know?

Hidden

Source

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Item Name

Payment Status

Amount Recieved

Only needed if the amount received is different from amount to pay.

Registration Cost Per Attendee

Saturday Evening Banquet Cost Per Attendee

Notes

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About Registration

Registration Fees cover facility rental fees, A/V services, coffee/beverage service for meetings, Hospitality Room, printing and other fixed conference expenses and are in an amount sufficient to hold the conference. All persons attending the conference MUST be registered, NO EXCEPTIONS. Optimist members are required to pay the full registration based on the date submitted, whether eating lunch or not. Attendance and awards are based on paid member registrations.