Wisconsin-Upper Michigan Circle K District

47th Annual District Convention

February 26th-28th, 2010 – Brookfield, WI
The music is playing, the beads are coming out, the parade is getting set up, but we
need you to come participate! Come celebrate the 2009-2010 Circle K year in the
spirit of Mardi Gras! This year’s celebration is being held at the Sheraton Milwaukee
Brookfield Hotel!
Registration Cost

Postmarked by:
Early Registration: Friday, January 22nd, 2010 $80.00
Regular Registration: Friday, February 12th, 2010 $90.00
On Site:
On Site Registration: Friday, February 26th, 2010 $95.00
Meal Options

K-Family Luncheon:
SMOKED TURKEY CLUB SANDWICH
Sliced Smoked Turkey Breast Served on a Croissant with Swiss Cheese, Bacon, Vine Ripe Tomato, Lettuce and Dijonaise
Served with Potato Salad

GRILLED CHICKEN SALAD

California Field Greens, Vine Ripe Garden Tomatoes, Cucumbers, Toasted Pine Nuts and Croutons
Topped with Grilled Marinated Chicken Breast
Assorted Dressings
*Each option served with assorted beverages and a plate of assorted cookies

President’s and Parent’s Banquet:

WALNUT ROASTED PORK LOIN
Trimmed Center Cut Pork Loin Slow Roasted with an Apple Brandy Sauce
Served with Roasted potatoes

SALMON FILLET
Salmon Fillet Crusted with Lemon Pepper Topped with Chardonnay Butter Sauce
Served with Garlic Mashed Potatoes

STUFFED PORTABELLA MUSHROOMS (VEGETARIAN OPTION)

Portabella Mushrooms stuffed with Ricotta Cheese and Seasoned Bread Crumbs
Topped with Mozzarella Cheese
Served on a Bed of Rice with Sautéed Tomato Wedges

*Each option served with a Garden Salad, Dinner roll, Chef’s choice of vegetable, assorted beverages and NY Style
Cheesecake with choice Strawberry or Chocolate Sauce
Wisconsin-Upper Michigan Circle K District 47th Annual District Convention
Registration Page
Name:_____________________________________________
(As it will appear on your name tag) Circle all that
apply:
Circle K Club: _______________________________________ Club President
Address: ___________________________________________ Club Vice President
___________________________________________ Club Treasurer
Club Secretary
Phone Number: ______________________________________ First Timer
E-mail: ____________________________________________ Kiwanian
Registration Price: Alumni
Member
Postmarked by 1/22/2010 $80.00 Advisor
Postmarked by 2/12/2010 $90.00 Guest
On Site Registration $95.00
Meal Choice for K-Family Luncheon: please circle one
Smoked Turkey Club Sandwich Grilled Chicken Salad Vegetarian Meal

Meal Choice for President’s and Parent’s Dinner: please circle one
Walnut Roasted Pork Loin Salmon Fillet Stuffed Portabella Mushroom

Special Dietary Needs? If so, please explain:

______________________________________________________________________________
Necessary Medical Information: _________________________________________

Are you interested in being contacted to lead a workshop? Yes No

(If yes, your registration needs to be in with Early Registration)

Room Rates at the Sheraton Milwaukee Brookfield Hotel including tax and gratuity are $111.96
per night. (Paid to the hotel, not the district.) The Convention Committee would like to stress
the fact that the more people get their registration in early, they will arrange for blocked rooms in
the hotel!
Number in a Room: 1 2 3 4
Handicap Access Required: Yes No
Names & Schools of Roommates:
Names Schools
1.____________________ _____________________
2.____________________ _____________________
3.____________________ _____________________

*If you don’t list roommates the Convention Committee will assign you roommates based on other club members
registered.
T-shirt Size: please circle one S M L XL XXL
Checks should be made out to W-UM District of Circle K need to be mailed in with
registration!
Send registration and checks to Janet DeGroot at 207 23rd St. Dr SE Cedar Rapids, IA 52403
*Checks will be cashed within a few business days of receipt.
 Wisconsin-Upper Michigan 2009-2010 District Convention in Brookfield, WI
Schedule of Events
Friday, February 26th, 2010 – Sunday, February 28th, 2010

Friday, February 26th, 2010

9:30 am – 1:00 pm: Board Meeting in Wisconsin 1-2

4:00 pm – 10:00 pm: Registration in Lobby
Credentials
Scrapbook Drop Off
Banner Drop Off
Hotel Check-in
4:30 pm – 6:30 pm: Talent Show Auditions in Wisconsin 5
6:00 pm – 6:30 pm: Candidates Meeting in Wisconsin 6
6:30 pm – 7:00 pm: Sergeant at Arms Meeting in Wisconsin 6
7:00 pm – 8:00 pm: Opening Session in Wisconsin 3-4
8:00 pm – 10:00 pm: Craft Night/Free Time in Wisconsin 1-2
10:30 pm – 12:00 am: Caucuses in Wisconsin 5, 6, 7

Saturday, February 27th, 2010

8:00 am – 11:00 am: Late Registration in Lobby
8:00 am – 8:15 am: Credentials Check-in in Moorland 1-2
8:15 am – 9:45 am: House of Delegates in Moorland 1-2
9:30 am – 10:00 am: Judges Meeting in Moorland 6
10:00 am – 10:45 am: Workshop 1 in Wisconsin 1, 2, 3, 4, 5, 6, 7
11:00 am – 11:45 am: Workshop 2 in Wisconsin 1, 2, 3, 4, 5, 6, 7
12:00 pm – 1:30 pm: K-Family Luncheon in Milwaukee 1-2
2:30 pm – 3:45 pm: Caucuses in Wisconsin 5, 6, 7
3:45 pm – 5:15 pm: Service Project in Moorland 1-2
3:45 pm – 6:00 pm: Guest Registration in Lobby
6:15 pm – 7:00 pm: Governors’ & Administrators’ Reception in Moorland 7
7:00 pm – 10:00 pm: Presidents’ & Parents’ Banquet in Milwaukee 1-2
10:00 pm – 10:45 pm: Talent Show in Milwaukee 1-2
11:00 pm – 1:00 am: Dance in Milwaukee 1-2 and/or Free Time

Sunday, February 28th, 2010

7:30 am – 8:00 am: Non-Denominational Service in Wisconsin 1-2
8:00 am – 8:15 am: Credentials Check-in in Moorland 1-2
8:15 am – 10:30 am: House of Delegates in Moorland 1-2
10:45 am – 12:00 pm: Governor's Farewell Session in Wisconsin 3-4
1:00 pm – 5:00 pm: New/Old Board Meeting in Wisconsin 1-2

Dress Code: Business Casual Casual Formal

Wisconsin-Upper Michigan Circle K District 47th Annual District Convention

PERSONAL RECORDS
**PLEASE KEEP FOR YOUR OWN RECORDS**
My registration was sent on:____________ I paid with check #: ____________
For K-Family Luncheon I am eating: ______________________
For Presidents & Parents Banquet I am eating: ________________________
My roommates will be:
Names Schools
1.____________________ _____________________
2.____________________ _____________________
3.____________________ _____________________

Cancellation Policy: Any prepaid registration for this District Convention shall be refunded in
full if a written request is postmarked to the District Treasurer twenty-one (21) days before
opening session. Requests for refunds postmarked fourteen (14) days prior to opening session will
be granted 50%, and 25% of the registration fee will be refunded to requests postmarked seven
(7) days before opening session. Special emergency refunds may be granted pending approval of
the District Administrator, Governor, Treasurer, and Convention Chair.

DRESS CODE
Formal:
Ladies~ An evening gown or dress
Men~ Suit and tie, sport coat, tuxedo
Casual:
Jeans, Circle K shirts, khakis, shorts.
Important Note: Nothing with beer, tobacco, drug, sexual, or other inappropriate logos
or connotations.
Business Casual:
Ladies~ A suit, skirt, blouse, dress, sweater, dress pants, etc.
Men~ Suit, nice pants, polo, button-down shirt, tie, etc.

Ask your Lieutenant Governor about Causes Themes for Friday Night!

If you have any questions regarding District Convention, please feel free to contact
Robyn White, the District Convention Chair.
Email: robyn.ann.white@gmail.com
Phone: (651) 894-3062