Purchaser Name
First Name
Last Name
Purchaser Name on Badge
Purchaser Lion Type
Please Select
Lion
DG
PDG
PIP
PID
VDG
Leo
Purchaser Club
Guest Name
First Name
Last Name
Guest Name on Badge
Guest Lion Type
Please Select
Lion
DG
PDG
PIP
PID
VDG
Leo
Guest Club
Email
example@example.com
Phone Number
Please enter a valid phone number.
Registration and Full Meal Package (Lions) Payment on or before Sept. 30, 2025 @ $125.00
Registration and Full Meal Package (Lions) Payment after Sept. 30, 2025 @ $150.00
Registration and Full Meal Package (Leos) Payment on or before Sept. 30, 2025 @ $60.00
Registration and Full Meal Package (Leos) Payment after Sept. 30, 2025 @ $85.00
Saturday Lunch Only Payment on or before Sept. 30, 2025 @ $15.00
Saturday Lunch Only Payment after Sept. 30, 2025 @ $20.00
Separate DG Banquet Ticket @ $60.00
Saturday Program Only (No meals) @ $50.00
Total
Please specify conditions such as diabetic, and allergies such as gluten, etc.
Payment Amount
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