Second Quarter Conference Registration
Holiday Inn - Surfside Beach, SC
February 9 - 11, 2018
Club Name (#####)
Choose one
Carolina Forest (22425)
Charleston-West Ashley (22175)
Chester (22032)
Childhood Cancer (2248)
Clarendon (22429)
Clover (22035)
Columbia-Breakfast (22005)
Columbia-Downtown (22045)
Columbia-Dutch Fork (22055)
Columbia-St Andrews-Irmo (22155)
Educators of Rock Hill (22423)
Florence (22090)
Florence Breakfast (22007)
Forest Acres (22422)
Fort Mill Community (22096)
Hope - Blythewood (22424)
Lugoff (22113)
Mt Hebron Dreamkeepers (22006)
Myrtle Beach- Grand Strand (22117)
North Myrtle Beach-Nort Strand (22098)
North Augusta (22120)
North Richland-Fairlawn (22138)
Palmetto Optimist Club (22427)
Rock Hil (22150)
Rock Hill-Central City (22375)
South Strand (2242)
Spartanburg-Breakfast
Sumter-Evening (22406)
Winthrop Women BB Team (22430)
Submission Date
Full Name
Nick Name
Member Number
Registration
ADLT Mbr Reg + 3 Meals
ADLT Mbr Reg
COL Mbr Reg + 3 Meals
COL Mbr Reg
JOI Mbr Reg + 3 Meals
JOI Mbr Reg
Not Reg
Lunch
ADLT Lch
COL Mbr Lch
JOI Mbr Lch
Child Lch
No Lch
Dinner
ADLT Din
COL Mbr Din
JOI Mbr Din
Child Din
No Din
Breakfast
ADLT Bft
COL Mbr Bft
JOI Mbr Bft
Child Bft
No Bft
Friday Functions
Shopping at Tanger Outlets
Golf at Indian Wells
Shooting Competition
Special Needs
Cost
Register More?
Yes
No
Full Name
Nick Name
Member Number
Registration
ADLT Mbr Reg + 3 Meals
ADLT Mbr Reg
COL Mbr Reg + 3 Meals
COL Mbr Reg
JOI Mbr Reg + 3 Meals
JOI Mbr Reg
Not Reg
Lunch
ADLT Lch
COL Mbr Lch
JOI Mbr Lch
Child Lch
No Lch
Dinner
ADLT Din
COL Mbr Din
JOI Mbr Din
Child Din
No Din
Breakfast
ADLT Bft
COL Mbr Bft
JOI Mbr Bft
Child Bft
No BFT
Friday Functions
Shopping at Tanger Outlets
Golf at Indian Wells
Shooting Competition
Special Needs
Cost
Register More
Yes
No
Full Name
Nick Name
Member Number
Registration
ADLT Mbr Reg + 3 Meals
ADLT Mbr Reg
COL Mbr + 3 Meals
COL Mbr Reg
JOI Mbr Reg + 3 Meals
JOI Mbr Reg
Not Reg
Lunch
ADLT Lch
COL Mbr Lch
JOI Mbr Lch
Child Lch
No Lch
Dinner
ADLT Din
COL Mbr Din
JOI Mbr Din
Child Dinner
No Din
Breakfast
ADLT Bft
COL Mbr Bft
JOI Mbr Bft
Child Bft
No Bft
Friday Funstions
Shopping at Tander Outlets
Golf at Indian Wells
Shooting Competition
Special Needs
Cost
Register More
Yes
No
Full Name
Nick Name
Member Number
Registration
ADLT Mbr Reg + 3 Meals
ADLT Mbr Reg
COL Mbr Reg + 3 Meals
COL Nbr Reg
JOI Mbr Reg + 3 Meals
JOI Mbr Reg
Not Reg
Lunch
ADLT Lch
COL Mbr Lch
JOI Mbr Lch
Child Lch
No Lch
Dinner
ADLT Din
COL Mbr Din
JOI Mbr Din
Child Din
No Din
Breakfast
ADLT Bft
COL Mbr Bft
JOI Mbr Bft
Child Bft
No Bft
Friday Fuctions
Shopping at Tanger Outlets
Golf at Indian Wells
Shooting Competition
Special Needs
Cost
Register More?
Yes
No
Full Name
Nick Name
Member Number
Registration
ADLT Mbr Reg + 3 Meals
ADLT Mbr Reg
COL Mbr Reg + 3 Meals
COL Mbr Reg
JOIMbr Reg + 3 Meals
JOI Mbr Reg
Not Reg
Lunch
ADLT Lch
COL Mbr Lch
JOI Mbr Lch
Child Lch
No Lch
Dinner
ADLT Din
COL Mbr Din
JOI Mbr Din
Child Din
No Din
Breakfast
ADLT Bft
COL Mbr Bft
JOI Mbr Bft
Child Bft
No Bft
Friday Functions
Shopping at Tangers
Golf at IndianWells
Shooting Competition
Special Needs
Cost
Prepared By
Email
Total Cost