Conference Registration-2026Q3

URL

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Optimist's Name*

First Last

I am registering for:

Full Conference Registration (includes lunch)

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 2025-2026

District Office held for 2025-2026

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 lunch)

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 2025-2026

Spouse/Guest District Office held for 2025-2026

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?*

3rd Quarter 2025-2026 Conference

April 25, 2026

Chattahoochee Technical College – North Metro Campus
5198 Ross Road
Acworth, GA 30102

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