You can register maximum 10 members at a time. Fall Rally Registration Form (Multiple Registrations) (CHECK 2024) Click HERE for the division map Register Member #1 ? Yes ($45) No Member #1: Name First Last Member #1: Cell PhoneMember #1: Email Address Member #1: Membership Number Member #1: School Name Member #1: Division NameChoose Your DivisionArrowhead DivisionBuffalo Trace DivisionCalumet DivisionCapital DivisionCardinal DivisionCedar DivisionCollegiate DivisionCircle City DivisionDuneland DivisionExplorer DivisionFarmland DivisionHeartland DivisionHoosier DivisionIndy Metro DivisionJohnny Appleseed DivisionLand of Lakes DivisionLincoln DivisionPotawatomi DivisionRose DivisionSagamore DivisionScenic Hills DivisionSouthwind DivisionSycamore North DivisionSycamore South DivisionWabash Valley DivisionMember #1: Current Grade Member #1: Parent/Guardian Name First Last Member #1: Parent/Guardian Cell Phone NumberMember #1: Are you OK to be in pictures taken at this event to be used by Key Club International? Yes No Member #1: T-Shirt SizeChoose your sizeAdult SmallAdult MediumAdult LargeAdult X-LargeAdult XX-LargeAdult XXX-LargeMember #1: Club Advisor Name Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Last Member #1: Club Advisor Email Member #1: Do you plan on driving and parking a bus or car? Bus Car None Member#1: If bus, how many?Member #1: Have you printed and filled out the Key Club Medical Form and Code of Conduct to be turned in upon arrival at the location? Yes No Register Member #2 ? Yes ($45) No Member #2: Name First Last Member #2: Cell PhoneMember #2: Email Address Member #2: Membership Number Member #2: School Name Member #2: Division NameChoose Your DivisionArrowhead DivisionBuffalo Trace DivisionCalumet DivisionCapital DivisionCardinal DivisionCedar DivisionCollegiate DivisionCircle City DivisionDuneland DivisionExplorer DivisionFarmland DivisionHeartland DivisionHoosier DivisionIndy Metro DivisionJohnny Appleseed DivisionLand of Lakes DivisionLincoln DivisionPotawatomi DivisionRose DivisionSagamore DivisionScenic Hills DivisionSouthwind DivisionSycamore North DivisionSycamore South DivisionWabash Valley DivisionMember #2: Current GradeMember #2: Parent/Guardian Name First Last Member #2: Parent/Guardian Cell Phone NumberMember #2: Are you OK to be in pictures taken at this event to be used by Key Club International? Yes No Member #2: T-Shirt SizeChoose your sizeAdult SmallAdult MediumAdult LargeAdult X-LargeAdult XX-LargeAdult XXX-LargeMember #2: Club Advisor Name Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Last Member #2: Club Advisor Email Member #2: Do you plan on driving and parking a bus or car? Bus Car None Member #2: If bus, how many?Member #2: Have you printed and filled out the Key Club Medical Form and Code of Conduct to be turned in upon arrival at the location? Yes No Register Member #3 ? Yes ($45) No Member #3: Name First Last Member #3: Cell PhoneMember #3: Email Address Member #3: Membership Number Member #3: School Name Member #3: Division NameChoose Your DivisionArrowhead DivisionBuffalo Trace DivisionCalumet DivisionCapital DivisionCardinal DivisionCedar DivisionCollegiate DivisionCircle City DivisionDuneland DivisionExplorer DivisionFarmland DivisionHeartland DivisionHoosier DivisionIndy Metro DivisionJohnny Appleseed DivisionLand of Lakes DivisionLincoln DivisionPotawatomi DivisionRose DivisionSagamore DivisionScenic Hills DivisionSouthwind DivisionSycamore North DivisionSycamore South DivisionWabash Valley DivisionMember #3: Current Grade Member #3: Parent/Guardian Name First Last Member #3: Parent/Guardian Cell Phone NumberMember #3: Are you OK to be in pictures taken at this event to be used by Key Club International? Yes No Member #3: T-Shirt SizeChoose your sizeAdult SmallAdult MediumAdult LargeAdult X-LargeAdult XX-LargeAdult XXX-LargeMember #3: Club Advisor Name Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Last Member #3: Club Advisor Email Member #3: Do you plan on driving and parking a bus or car? Bus Car None Member #3: If bus, how many?Member #3: Have you printed and filled out the Key Club Medical Form and Code of Conduct to be turned in upon arrival at the location? Yes No Register Member #4 ? Yes ($45) No Member #4: Name First Last Member #4: Cell PhoneMember #4: Email Address Member #4: Membership Number Member #4: School Name Member #4: Division NameChoose Your DivisionArrowhead DivisionBuffalo Trace DivisionCalumet DivisionCapital DivisionCardinal DivisionCedar DivisionCollegiate DivisionCircle City DivisionDuneland DivisionExplorer DivisionFarmland DivisionHeartland DivisionHoosier DivisionIndy Metro DivisionJohnny Appleseed DivisionLand of Lakes DivisionLincoln DivisionPotawatomi DivisionRose DivisionSagamore DivisionScenic Hills DivisionSouthwind DivisionSycamore North DivisionSycamore South DivisionWabash Valley DivisionMember #4: Current Grade Member #4: Parent/Guardian Name First Last Member #4: Parent/Guardian Cell Phone NumberMember #4: Are you OK to be in pictures taken at this event to be used by Key Club International? Yes No Member #4: T-Shirt SizeChoose your sizeAdult SmallAdult MediumAdult LargeAdult X-LargeAdult XX-LargeAdult XXX-LargeMember #4: Club Advisor Name Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Last Member #4: Club Advisor Email Member #4: Do you plan on driving and parking a bus or car? Bus Car None Member #4: If bus, how many?Member #4: Have you printed and filled out the Key Club Medical Form and Code of Conduct to be turned in upon arrival at the location? Yes No Register Member #5 ? Yes ($45) No Member #5: Name First Last Member #5: Cell PhoneMember #5: Email Address Member #5: Membership Number Member #5: School Name Member #5: Division NameChooose Your DivisionArrowhead DivisionBuffalo Trace DivisionCalumet DivisionCapital DivisionCardinal DivisionCedar DivisionCollegiate DivisionCircle City DivisionDuneland DivisionExplorer DivisionFarmland DivisionHeartland DivisionHoosier DivisionIndy Metro DivisionJohnny Appleseed DivisionLand of Lakes DivisionLincoln DivisionPotawatomi DivisionRose DivisionSagamore DivisionScenic Hills DivisionSouthwind DivisionSycamore North DivisionSycamore South DivisionWabash Valley DivisionMember #5: Current Grade Member #5: Parent/Guardian Name First Last Member #5: Parent/Guardian Cell Phone NumberMember #5: Are you OK to be in pictures taken at this event to be used by Key Club International? Yes No Member #5: T-Shirt SizeChoose your sizeAdult SmallAdult MediumAdult LargeAdult X-LargeAdult XX-LargeAdult XXX-LargeMember #5: Club Advisor Name Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Last Member #5: Club Advisor Email Member #5: Do you plan on driving and parking a bus or car? Bus Car None Member #5: If bus, how many?Member #5: Have you printed and filled out the Key Club Medical Form and Code of Conduct to be turned in upon arrival at the location? YEs No Register Member #6 ? Yes ($45) No Member #6: Name First Last Member #6: Cell PhoneMember #6: Email Address Member #6: Membership Number Member #6: School Name Member #6: Division NameChooose Your DivisionArrowhead DivisionBuffalo Trace DivisionCalumet DivisionCapital DivisionCardinal DivisionCedar DivisionCollegiate DivisionCircle City DivisionDuneland DivisionExplorer DivisionFarmland DivisionHeartland DivisionHoosier DivisionIndy Metro DivisionJohnny Appleseed DivisionLand of Lakes DivisionLincoln DivisionPotawatomi DivisionRose DivisionSagamore DivisionScenic Hills DivisionSouthwind DivisionSycamore North DivisionSycamore South DivisionWabash Valley DivisionMember #6: Current Grade Member #6: Parent/Guardian Name First Last Member #6: Parent/Guardian Cell Phone NumberMember #6: Are you OK to be in pictures taken at this event to be used by Key Club International? Yes No Member #6: T-Shirt SizeChoose your sizeAdult SmallAdult MediumAdult LargeAdult X-LargeAdult XX-LargeAdult XXX-LargeMember #6: Club Advisor Name Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Last Member #6: Club Advisor Email Member #6: Do you plan on driving and parking a bus or car? Bus Car None Member #6: If bus, how many?Member #6: Have you printed and filled out the Key Club Medical Form and Code of Conduct to be turned in upon arrival at the location? Yes No Register Member #7 ? Yes ($45) No Member #7: Name First Last Member #7: Cell PhoneMember #7: Email Address Member #7: Membership Number Member #7: School Name Member #7: Division NameChooose Your DivisionArrowhead DivisionBuffalo Trace DivisionCalumet DivisionCapital DivisionCardinal DivisionCedar DivisionCollegiate DivisionCircle City DivisionDuneland DivisionExplorer DivisionFarmland DivisionHeartland DivisionHoosier DivisionIndy Metro DivisionJohnny Appleseed DivisionLand of Lakes DivisionLincoln DivisionPotawatomi DivisionRose DivisionSagamore DivisionScenic Hills DivisionSouthwind DivisionSycamore North DivisionSycamore South DivisionWabash Valley DivisionMember #7: Current Grade Member #7: Parent/Guardian Name First Last Member #7: Parent/Guardian Cell Phone NumberMember #7: Are you OK to be in pictures taken at this event to be used by Key Club International? Yes No Member #7: T-Shirt SizeChoose your sizeAdult SmallAdult MediumAdult LargeAdult X-LargeAdult XX-LargeAdult XXX-LargeMember #7: Club Advisor Name Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Last Member #7: Club Advisor Email Member #7: Do you plan on driving and parking a bus or car? Bus Car None Member #7: If bus, how many?Member #7: Have you printed and filled out the Key Club Medical Form and Code of Conduct to be turned in upon arrival at the location? Yes No Register Member #8 ? Yes ($45) No Member #8: Name First Last Member #8: Cell PhoneMember #8: Email Address Member #8: Membership Number Member #8: School Name Member #8: Division NameChooose Your DivisionArrowhead DivisionBuffalo Trace DivisionCalumet DivisionCapital DivisionCardinal DivisionCedar DivisionCollegiate DivisionCircle City DivisionDuneland DivisionExplorer DivisionFarmland DivisionHeartland DivisionHoosier DivisionIndy Metro DivisionJohnny Appleseed DivisionLand of Lakes DivisionLincoln DivisionPotawatomi DivisionRose DivisionSagamore DivisionScenic Hills DivisionSouthwind DivisionSycamore North DivisionSycamore South DivisionWabash Valley DivisionMember #8: Current Grade Member #8: Parent/Guardian Name First Last Member #8: Parent/Guardian Cell Phone NumberMember #8: Are you OK to be in pictures taken at this event to be used by Key Club International? Yes No Member #8: T-Shirt SizeChoose your sizeAdult SmallAdult MediumAdult LargeAdult X-LargeAdult XX-LargeAdult XXX-LargeMember #8: Club Advisor Name Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Last Member #8: Club Advisor Email Member #8: Do you plan on driving and parking a bus or car? Bus Car None Member #8: If bus, how many?Member #8: Have you printed and filled out the Key Club Medical Form and Code of Conduct to be turned in upon arrival at the location? Yes No Register Member #9 ? Yes ($45) No Member #9: Name First Last Member #9: Cell PhoneMember #9: Email Address Member #9: Membership Number Member #9: School Name Member #9: Division NameChooose Your DivisionArrowhead DivisionBuffalo Trace DivisionCalumet DivisionCapital DivisionCardinal DivisionCedar DivisionCollegiate DivisionCircle City DivisionDuneland DivisionExplorer DivisionFarmland DivisionHeartland DivisionHoosier DivisionIndy Metro DivisionJohnny Appleseed DivisionLand of Lakes DivisionLincoln DivisionPotawatomi DivisionRose DivisionSagamore DivisionScenic Hills DivisionSouthwind DivisionSycamore North DivisionSycamore South DivisionWabash Valley DivisionMember #9: Current Grade Member #9: Parent/Guardian Name First Last Member #9: Parent/Guardian Cell Phone NumberMember #9: Are you OK to be in pictures taken at this event to be used by Key Club International? Yes No Member #9: T-Shirt SizeChoose your sizeAdult SmallAdult MediumAdult LargeAdult X-LargeAdult XX-LargeAdult XXX-LargeMember #9: Club Advisor Name Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Last Member #9: Club Advisor Email Member #9: Do you plan on driving and parking a bus or car? Bus Car None Member #9: If bus, how many?Member #9: Have you printed and filled out the Key Club Medical Form and Code of Conduct to be turned in upon arrival at the location? Yes No Register Member #10 ? Yes ($45) No Member #10: Name First Last Member #10: Cell PhoneMember #10: Email Address Member #10: Member Number Member #10: School Name Member #10: Division NameChooose Your DivisionArrowhead DivisionBuffalo Trace DivisionCalumet DivisionCapital DivisionCardinal DivisionCedar DivisionCollegiate DivisionCircle City DivisionDuneland DivisionExplorer DivisionFarmland DivisionHeartland DivisionHoosier DivisionIndy Metro DivisionJohnny Appleseed DivisionLand of Lakes DivisionLincoln DivisionPotawatomi DivisionRose DivisionSagamore DivisionScenic Hills DivisionSouthwind DivisionSycamore North DivisionSycamore South DivisionWabash Valley DivisionMember #10: Current Grade Member #10: Parent/Guardian Name First Last Member #10: Parent/Guardian Cell Phone NumberMember #10: Are you OK to be in pictures taken at this event to be used by Key Club International? Yes No Member #10: T-Shirt SizeChoose your sizeAdult SmallAdult MediumAdult LargeAdult X-LargeAdult XX-LargeAdult XXX-LargeMember #10: Club Advisor Name Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Last Member #10: Club Advisor Email Member #10: Do you plan on driving and parking a bus or car? Bus Car None Member #10: If bus, how many?Member #10: Have you printed and filled out the Key Club Medical Form and Code of Conduct to be turned in upon arrival at the location? Yes No Total Please mail the check to: Elizabeth Len 1007 Rentham Lane, Indianapolis, IN, 46217Email address to send invoice(Required) CAPTCHA
