Iowa JOI Convention Registration Valley Community Center – Saturday, March 16, 2024 4444 Fuller Road, West Des Moines, IA 50265 10:00am – 4:00pm (Registration at 9:30am) Name:* First Last Club Name:* Sponsor Club Name:* Youth/Adult* Youth Adult Club Office/Advisor/Chaperone:*PresidentVice PresidentSecretary/TreasurerSecretaryTreasurerAdvisorChaperoneMemberOtherSpecify Club Office if Other: District Office:GovernorSecretary/TreasurerLt. GovernorInternational Office: Email:* Phone:*Iowa JOI t-shirt Small Medium Large X-Large 2x-Large 3x-Large Registration fee is $40 and will include Lunch, snacks, drawstring bag and a JOI t-shirt. No refunds – you may substitute.Will pay by check via:* Mail In person on day of Please mail to Barb Robertson at 505 North Street, Underwood, IA 51576. Make Checks Payable to Iowa District OptimistsSpecial requests (vegan, allergies, etc): Name of Chaperone:* First Last 1 Chaperone per every 6 members.Emergency Contact:* First Last Emergency Contact Relation:* Emergency Contact Phone:* Δ
