You can register maximum 10 members at a time. Key Club Registration Form (Multiple Registrations) (CHECK) Click HERE for the division map Register Member #1 ?(Required) $350 per student $425 per chaperone SHARING a room $500 per SINGLE adult room $250 per INDB member No Pricing includes overnight stays at the Crowne Plaza Hotel, access to hotel amenities, a DLC 2024 t-shirt, and other DLC memorabilia.Member #1: Name First Last Member #1: Cell PhoneMember #1: Email Address Member #1: Current GradeMember #1: Membership NumberMember #1: School NameMember #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: 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: 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 ?(Required) $350 per student $425 per chaperone SHARING a room $500 per SINGLE adult room $250 per INDB member No Member #2: Name First Last Member #2: Cell PhoneMember #2: Email Address Member #2: Current GradeMember #2: Membership NumberMember #2: School NameMember #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: 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: 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 ?(Required) $350 per student $425 per chaperone SHARING a room $500 per SINGLE adult room $250 per INDB member No Pricing includes overnight stays at the Crowne Plaza Hotel, access to hotel amenities, a DLC 2024 t-shirt, and other DLC memorabilia.Member #3: Name First Last Member #3: Cell PhoneMember #3: Email Address Member #3: Current GradeMember #3: Membership NumberMember #3: School NameMember #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: 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: 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 ?(Required) $350 per student $425 per chaperone SHARING a room $500 per SINGLE adult room $250 per INDB member No Pricing includes overnight stays at the Crowne Plaza Hotel, access to hotel amenities, a DLC 2024 t-shirt, and other DLC memorabilia.Member #4: Name First Last Member #4: Cell PhoneMember #4: Email Address Member #4: Current GradeMember #4: Membership NumberMember #4: School NameMember #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: 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: 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 ?(Required) $350 per student $425 per chaperone SHARING a room $500 per SINGLE adult room $250 per INDB member No Pricing includes overnight stays at the Crowne Plaza Hotel, access to hotel amenities, a DLC 2024 t-shirt, and other DLC memorabilia.Member #5: Name First Last Member #5: Cell PhoneMember #5: Email Address Member #5: Current GradeMember #5: Membership NumberMember #5: School NameMember #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: 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: 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 ?(Required) $350 per student $425 per chaperone SHARING a room $500 per SINGLE adult room $250 per INDB member No Pricing includes overnight stays at the Crowne Plaza Hotel, access to hotel amenities, a DLC 2024 t-shirt, and other DLC memorabilia.Member #6: Name First Last Member #6: Cell PhoneMember #6: Email Address Member #6: Current GradeMember #6: Membership NumberMember #6: School NameMember #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: 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: 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 ?(Required) $350 per student $425 per chaperone SHARING a room $500 per SINGLE adult room $250 per INDB member No Pricing includes overnight stays at the Crowne Plaza Hotel, access to hotel amenities, a DLC 2024 t-shirt, and other DLC memorabilia.Member #7: Name First Last Member #7: Cell PhoneMember #7: Email Address Member #7: Current GradeMember #7: Membership NumberMember #7: School NameMember #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: 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: 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 ?(Required) $350 per student $425 per chaperone SHARING a room $500 per SINGLE adult room $250 per INDB member No Pricing includes overnight stays at the Crowne Plaza Hotel, access to hotel amenities, a DLC 2024 t-shirt, and other DLC memorabilia.Member #8: Name First Last Member #8: Cell PhoneMember #8: Email Address Member #8: Current GradeMember #8: Membership NumberMember #8: School NameMember #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: 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: 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 ?(Required) $350 per student $425 per chaperone SHARING a room $500 per SINGLE adult room $250 per INDB member No Pricing includes overnight stays at the Crowne Plaza Hotel, access to hotel amenities, a DLC 2024 t-shirt, and other DLC memorabilia.Member #9: Name First Last Member #9: Cell PhoneMember #9: Email Address Member #9: Current GradeMember #9: Membership NumberMember #9: School NameMember #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: 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: 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 ?(Required) $350 per student $425 per chaperone SHARING a room $500 per SINGLE adult room $250 per INDB member No Pricing includes overnight stays at the Crowne Plaza Hotel, access to hotel amenities, a DLC 2024 t-shirt, and other DLC memorabilia.Member #10: Name First Last Member #10: Cell PhoneMember #10: Email Address Member #10: Current GradeMember #10: Member NumberMember #10: School NameMember #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: 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: 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
