Indiana District Event Early Bird Registration Club Name(Required)Select Your ClubGuest101 Lakes Angola25+ Kiwanians Who Care – INAkron-MentoneAlexandriaAuburnAvonBatesvilleBedfordBloomingtonBoonvilleBremenBrookvilleBrownsburgCambridge City, New DayCarmelCarmel Golden KCastletonChandlerChesterton-DunelandCiceroClarksvilleClay CountyColumbusColumbus Golden KColumbus, MeridianConnersvilleCrawfordsvilleCulverDaleDanvilleDunkirkEast NobleElberfeldElkhartElwoodEvansvilleEvansville-Green RiverFerdinandFishersFort WayneFort Wayne Time CornersFrankfortFranklinGolden K, RichmondGoshenGoshen, Maple CityGrant County, IndianaGreater AndersonGreater BlufftonGreater PrincetonGreater SheridanGreencastleGreenfieldGreensburg CommunityGreenwoodHighlandHistoric KokomoHistoric New AlbanyHistoric NewburghHobartHollandHuntingburgHuntington CountyIndianapolisIndianapolis-Broad RippleIndy GlobalIndy-It's 5 o'clock SomewhereJasperJefferson CountyJohn Chapman, Fort WayneKankakee Valley IndianaKnute Rockne Memorial, GrangerKokomoKokomo Golden KLa PorteLafayetteLafayette-HarrisonLakeland, North WebsterLawrence SunriseLawrenceburgLebanonLogansportLogansport and Cass CountyMartinsvilleMeridian Hills, IndianapolisMerrillville-BreakfastMetropolitan KokomoMilfordMitchell-GrissomMonticelloMooresvilleMount VernonMuncieMunsterNappaneeNew Castle Henry CountyNew HarmonyNewburghNoblesvilleNoblesville, SunrisersNorth Clark CommunityNorth IndianapolisNorth ManchesterNorth VernonNorthwest IndianapolisOakland CityOoliticOrleansPendletonPerry Twp.-IndianapolisPeru-GrissomPetersburgPlainfieldPlymouthPrincetonPortagePortlandPoseyvilleRichmondRobin Run Golden K-IndianapolisRochesterRush CountySaint PaulScott CountySeymourShelbyvilleSouth BendSouth Central IndianaSouth SpencerTell CityTerre HauteThorntownTipton (Suns of Tipton)ValparaisoValparaiso SunriseVincennesWabashWarsawWawaseeWest AndersonWestfieldWestportWinamacWinchesterYorktownZionsville/WhitestownName of the ClubIf the club name is not in the list. Please input your club name here.Name(Required) First Last Email(Required) Dietary Restriction(Required) No, I don’t have any restriction Yes, I have a dietary restriction Dietary Restriction DescriptionRegistration Options(Required) Full Weekend Ticket: $129.00 Friday Night Dinner Only Ticket: $39.00 Saturday Only Ticket (Dinner included): $99.00 Total Credit Card(Required)Card Details Cardholder Name
