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Registration Form

First-Time Attendee *

Yes

No

T-Shirt Sizes (Additional $25)

T-Shirt Sizes

None
S
M
L
XL
2XL
3XL
4XL
No elements found. Consider changing the search query.
List is empty.

First Name *

Last Name *

Address *

City *

State *

Postal code *

Region *

Phone *

Club Name

Club President

Date of birth *

Email *

List Your Voting Status (Check Only One)

Elected National Officers

Past National President

National Youth Supervisor (NAYC)

Region President

State President

Club President

Delegate (not one of the above)

Alternate (not one of the above)

Emergency Contact

Emergency Contact Name

Emergency Contact Phone

Food Allergies

Notes

Adult and Young Adult Registration includes Convention Bag, Badge, and Memorabilia, Entrance to the President’s Reception/Community Night, Parade of States Presidents Luncheon, Youth Luncheon, Fed’s Got Talent, Awards Banquet, and Prayer Breakfast.

I agree to terms & conditions provided by the National Association of Colored Women's Club. By providing my phone number, I agree to receive text messages from the NACWC. Refund Policy – 100 % refund given for sudden illness and/or issues related to COVID-19. All other refunds will be granted based only on exigent circumstances as determined by the Executive Board.

Registration Form

First-Time Attendee *

Yes

No

T-Shirt Sizes (Additional $25)

T-Shirt Sizes

None
S
M
L
XL
2XL
3XL
4XL
No elements found. Consider changing the search query.
List is empty.

First Name *

Last Name *

Address *

City *

State *

Postal code *

Region *

Phone *

Club Name

Club President

Date of birth *

Email *

List Your Voting Status (Check Only One)

Elected National Officers

Past National President

National Youth Supervisor (NAYC)

Region President

State President

Club President

Delegate (not one of the above)

Alternate (not one of the above)

Emergency Contact

Emergency Contact Name

Emergency Contact Phone

Food Allergies

Notes

Adult and Young Adult Registration includes Convention Bag, Badge, and Memorabilia, Entrance to the President’s Reception/Community Night, Parade of States Presidents Luncheon, Youth Luncheon, Fed’s Got Talent, Awards Banquet, and Prayer Breakfast.

I agree to terms & conditions provided by the National Association of Colored Women's Club. By providing my phone number, I agree to receive text messages from the NACWC. Refund Policy – 100 % refund given for sudden illness and/or issues related to COVID-19. All other refunds will be granted based only on exigent circumstances as determined by the Executive Board.