Georgia Circle K 2017 Fall Membership Retreat  

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 $90.00. This fee includes lodging, four meals, meeting space, conference activities, workshop materials, conference t-shirt, and recreational activities. 

4.   The registration deadline is Friday October 20th, 2017.   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, 2017 are not guaranteed.  Contact Assistant Administrator Anla Etheridge to check for availability.  You must check for availability prior to arrival, if registration was late.  You must also call assistant administrator Anla Etheridge 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 Assistant Administrator
Anla Etheridge.  If registration fee is not paid in full and postmarked by Friday, October 20, 2017, 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 2017, c/o Anla Etheridge 885 Navajo Trail, Covington, GA 30016.  All requests concerning tax and vendor forms or payment directly from a school must be made prior to the deadline by contacting assistant administrator Anla Etheridge.

7.  Cancellation requests must be made in writing or you will not receive a refund.  Cancellations made prior to Friday, October 20, 2017 will be refunded in full.  There will be a $50 deduction per registration for cancellations made between October 20 and October 27, 2017  Cancellation requests postmarked on or
after October 27, 2017 will not be honored.

8.   If you have questions, contact Assistant Administrator Anla Etheridge @ 678-982-3118 * anla@georgiacirclek.org or District Fall Membership Retreat Liason Hailey Glover @ fmr@georgiacirclek.org 

Register Now!