Friday, November 5, 2021 at 5:00 PM EDT
Sunday, November 7, 2021 at 11:00 AM EST

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Georgia FFA FCCLA Center 
720 FFA FHA Camp Road
Covington, GA 30014

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Georgia Circle K 2020 Fall Membership Retreat  

Special Covid Message

We will continue to follow all pertinent Covid-19 measures in terms of cleaning and other issues as the situation warrents.  A Covid-19 Waiver will be filled out and completed prior to you registering at the event.   

PLEASE READ THESE INSTRUCTIONS before completing this form! 

1.  You may register yourself and up to 12 additional people with the registration form.  If you want to register more people from your club than 13 total attendees please complete an additional registration. 

2.  All attendees will be housed in cluster cabins on double bunks, therefore listing preferred roommates is not
 required.  Sheets, pillows, blankets, towels, and toiletries are not provided.

3.  The registration fee for this event is $95.00. This fee includes lodging, four meals, meeting space, conference activities, workshop materials, conference t-shirt, and recreational activities. 

4.   The registration deadline is Wed October 20th, 2021.   A completed registration packet will include the registration and full payment.  You will need to bring the medical form with you when you attend the Fall Membership Retreat.  Full payment must be made by the registration deadline or you will be subject to a $30 late fee and are not guaranteed a conference T-shirt. Registrations placed after October 20, 2021 are not guaranteed.  Contact District Administrator Brent Leslie to check for availability.  You must check for availability prior to arrival, if registration was late.  You must also call district administrator Brent Leslie to make a substitution if a registered member cancels.

5.   Method of payment: We will accept personal/school checks, credit cards via online registration, credit cards via the authorization form, and money orders (please do not send cash through the mail).  If you need a credit card authorization form please contact District Administrator Brent Leslie.  If registration fee is not paid in full and postmarked by October 20, 2021, you will be subject to a $30 late fee.  

6.  If submitting multiple registrations at one time you should select add member on the registration system and provide the information that is asked.  You may then either pay via a credit card or mail a form of payment.  Please include a cover note indicating the fees being paid for each registration enclosed.  Make checks payable to the Georgia District of Circle K Conferences and Conventions (GA CKI Con-Con).  Mail payment with this completed form to FMR 2021, c/o Brent Leslie 3005 Tiffin Circle, Macon, GA 31204.  All requests concerning tax and vendor forms or payment directly from a school must be made prior to the deadline by contacting district administrator Brent Leslie.

7.  Cancellation requests must be made in writing or you will not receive a refund.  Cancellations made prior to October 20, 2021 will be refunded in full.  There will be a $60 deduction per registration for cancellations made between October 21 and October 26, 2021.  Cancellation requests postmarked on or
after October 26, 2021 will not be honored.

8.   If you have questions, contact District Administrator Brent Leslie @ 478-319-0982 * administrator@georgiacirclek.org or Conventions Chair Hyeran Park @ conventions@georgiacirclek.org