Conference Registration-2027Q1

Email

This field is for validation purposes and should be left unchanged.

Optimist's Name*

First Last

I am registering for:

Full Conference Registration (includes all meals)
One Day Registration
Saturday Lunch
Saturday Dinner

Address

Street Address City State ZIP Code

Phone

Email*

Your Club Name*

Are you the official representative for your club at the Board meeting?*

Yes
No

Is this your first District Conference?

Yes
No

Is this your second District Conference?

Yes
No

Club Office held for 2026-2027

District Office held for 2026-2027

Will you need a name badge?

Yes
No

Complete this section only if Spouse/Guest is being registered:

Spouse/Guest Name

First Last

I am registering my Spouse/Guest for

Full Conference Registration (includes all meals)
One Day Registration
Saturday Lunch
Saturday Dinner

Club Name Spouse/Guest belongs if applicable

Is your Spouse/Guest the official representative for the club at the Board meeting?

Yes
No

Is this the first District Conference for your Spouse/Guest?

Yes
No

Is this the second District Conference for your Spouse/Guest?

Yes
No

Spouse/Guest Club Office held for 2026-2027

Spouse/Guest District Office held for 2026-2027

Will spouse/guest need a name badge?

Yes
No

Complete for all Registrants:

I will be*

Mailing a check to Jimmy Howard
Paying now by credit card or paypal
Other

Payment comments:

Do you have any special requests, food allergies, or comments for the Registrar?*

1st Quarter 2026-2027 Conference

November 13-14, 2026

East Ridge Community Center
1515 Tombras Ave
East Ridge, TN 37412

To print a copy of the form to register by mail, click here