AL-MS JOI Conference Registration

Please fill this form out to register for the Alabama Mississippi District JOI Conference March 11, 2023. Please enter your contact information.  The $35 fee for this event covers all materials and lunch. Thank You! 

DOES NOT include hotel accommodation.  Contact the hotel for reservations, if needed.  Doubletree Hotel Downtown, 120 Madison Ave Montgomery, AL, (334) 245-2320

*Required _________________________________________________________________________________Full Name*

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_________________________________________________________________________________Phone Number*

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_________________________________________________________________________________Email Address*

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_________________________________________________________________________________Club Name and Number/Advisor Name*

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_________________________________________________________________________________Full Mailing Address*

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_________________________________________________________________________________Name of Chaperones* (1 Chaperone per every 6 members)

Your answer:

_________________________________________________________________________________Emergency Contact*

Your answer:

_________________________________________________________________________________Emergency Contact Relations

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_________________________________________________________________________________Emergency Contact Phone*

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_________________________________________________________________________________Comments or Questions/Please note any food allergies here

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Registration fee is $35 and will include Lunch and materials. Pre-registration closes March 1st.  

Will pay by check via: *  

___ Mail

___ In person on day of

Please mail to AL-MS District at 700 – 71st Place South, Birmingham, AL 35206.

Make Checks Payable to AL-MS District JOI.