Texas District Anchor Convention
Texas District Anchor Convention FEBRUARY 12 – 13, 2016 REGISTRATION FORM Registration fee of $99 per person must be included with this Registration Form. Make checks payable to Texas District Anchor Convention Please type or print information on the attached sheet and return to: Doris Ritch, Texas District Treasurer PO Box 684, Red Oak, TX 75154 H-972-845-2431; C-972-742-7774; [email protected] Registration deadline: February 1st, 2016. Registration fee after February 1st, 2016 - $110 Cancellation postmark deadline for full refunds: February 1st, 2016 Anchors, be part of YOUR convention—serve on a committee! Indicate a 1st, 2nd and 3rd choice on the attached sheet. Please note the grade required for your chosen committee. Door Keepers – Grade 9-12 – Volunteer as a group! 4-6 will be needed at every meal/session Service Project – Grade 9-12 –– 4 members Banner Parade – Grade 10-11 – Will help organize the banner parade – 4-6 members Awards – Grade 9-11 – Will help organize and present awards – 2 or 3 members Registration – Grade 9-11 – Will help at the registration table, handing out packets and tee shirts – 6-8 members Need to be at the Hotel on Friday afternoon by 2:00 before registration starts Election – Grade 10-11 – Will count votes on business and election of officers – 4-6 members Should be from clubs that do not have a candidate in the election of officers Assistant Convention Chair – Grade 11 – Will assist the Pilot convention chairman – one person only Assistant Parliamentarian -- Grade 11 Time Keeper – Grade 9-12 – Will work with the Pilot timekeeper during business sessions – one person only
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2016 TEXAS DISTRICT ANCHOR CONVENTION REGISTRATION FORM
Name of Anchor/Pilot Club _______________________________________City_____________________ Check Amount ____________ covering a total of _____________ individuals from this club, including: ____________ Anchors ________ Advisors _____________ Pilots _____________ Other Anchor District Coordinator –Krista Spano, 609 Sunny Lane, Wharton, Tx 77488 979-533-0982 Texas District Governor –Janell Abbott, 212 Lakeside Place, Mineola, Tx 75773 903-569-3942
Include $99 for every person listed in any of the sections below!! Please Print all Information – Attach additional page as needed – Return to Doris Ritch, Pilot District Treasurer Delegate Registration & Information List three Anchors who will be the voting delegates for your club Name Office T-Shirt Size Committee, 1st,2nd,3rd S,M,L,XL,XXL List in preference order 1. _________________________________________________________________________________________________ 2. __________________________________________________________________________________________________ 3. __________________________________________________________________________________________________ Alternate Registration & Information (Anchor who will vote or serve as a delegate if one of the delegates cannot attend or has an emergency. ONLY LIST ANCHORS WHO ARE REGISTERED AND WILL BE IN ATTENDANCE—PLEASE LEAVE THIS BLANK IF ONLY THE THREE DELEGATES ARE ATTENDING)
Name
T-Shirt Size Committee, 1st,2nd,3rd S,M,L,XL,XXL List in preference order 1. _________________________________________________________________________________________________ 2. __________________________________________________________________________________________________ 3. __________________________________________________________________________________________________ Other Anchors Registration & Information T-Shirt Size Committee, 1st,2nd,3rd S,M,L,XL,XXL List in preference order _________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ Name 1. 2. 3. 4. 5.
Family or guests Registration & Information Name Address T-Shirt Size S.M.L,XL,XXL 1. __________________________________________________________________________________________________ 2. __________________________________________________________________________________________________ Name 1. 2. 3. 4.
Address
Pilots Registration & Information
T-Shirt Size Pilot Club Name S.M.L,XL,XXL __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ Place an asterick (*) by the name of any person who has food allergies or special diet needs. Write their name and type of allergy or need on the back of this registration sheet. We will try to accommodate these special needs, if possible.
See Next Page…..
2016 TEXAS DISTRICT ANCHOR CONVENTION REGISTRATION FORM
Name of Anchor/Pilot Club _______________________________________City_____________________ Check Amount ____________ covering a total of _____________ individuals from this club, including: ____________ Anchors ________ Advisors _____________ Pilots _____________ Other Anchor District Coordinator –Krista Spano, 609 Sunny Lane, Wharton, Tx 77488 979-533-0982 Texas District Governor –Janell Abbott, 212 Lakeside Place, Mineola, Tx 75773 903-569-3942
Include $99 for every person listed in any of the sections below!! Please Print all Information – Attach additional page as needed – Return to Doris Ritch, Pilot District Treasurer Delegate Registration & Information List three Anchors who will be the voting delegates for your club Name Office T-Shirt Size Committee, 1st,2nd,3rd S,M,L,XL,XXL List in preference order 1. _________________________________________________________________________________________________ 2. __________________________________________________________________________________________________ 3. __________________________________________________________________________________________________ Alternate Registration & Information (Anchor who will vote or serve as a delegate if one of the delegates cannot attend or has an emergency. ONLY LIST ANCHORS WHO ARE REGISTERED AND WILL BE IN ATTENDANCE—PLEASE LEAVE THIS BLANK IF ONLY THE THREE DELEGATES ARE ATTENDING)
Name
T-Shirt Size Committee, 1st,2nd,3rd S,M,L,XL,XXL List in preference order 1. _________________________________________________________________________________________________ 2. __________________________________________________________________________________________________ 3. __________________________________________________________________________________________________ Other Anchors Registration & Information T-Shirt Size Committee, 1st,2nd,3rd S,M,L,XL,XXL List in preference order _________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ Name 1. 2. 3. 4. 5.
Family or guests Registration & Information Name Address T-Shirt Size S.M.L,XL,XXL 1. __________________________________________________________________________________________________ 2. __________________________________________________________________________________________________ Name 1. 2. 3. 4.
Address
Pilots Registration & Information
T-Shirt Size Pilot Club Name S.M.L,XL,XXL __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ Place an asterick (*) by the name of any person who has food allergies or special diet needs. Write their name and type of allergy or need on the back of this registration sheet. We will try to accommodate these special needs, if possible.
