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Register for 2007 Delta Chi Leadership College

Undergrads: Registrations are only refundable if you attend! Payment must be received within one week of registering, or your spot will be voided. After registering, you must mail a check within one week, or call Heaquarters to pay by credit card.

When making flight arrangements, please remember you need to arrive at the Eastern Iowa Airport (code: CID) between 2 p.m. and 4 p.m. on Friday the 27th. There will be shuttles to take you to the Marriott as long as you arrive in time. The College will wrap up at noon on Sunday, July 29th, so any flights should depart no earlier than 2 p.m. on Sunday.

If you have any questions, please contact the Director of Chapter Services.

Personal Information

I am an:    Undergrad    Alumnus    Guest / Presenter    Faculty

First Name:     Last Name:

Name as you would like it on your nametag:

Chapter/Colony:   Grad Year:

Phone Number: Cell Home

E-mail Address:

Confirm E-mail:

T-Shirt Size:

Do you have any allergies? No Yes

Do you have any dietary requests?
No Vegetarian Other

In case of an emergency, please contact:

Relation:    Phone Number:

Travel Information

I will be: Driving Flying

Pre-Leadership College Survey

What is the most important skill needed to be a good brother? Explain:
  

Why do you want to attend the Leadership College? Please explain:
  

What is the best example of Delta Chi brotherhood you've seen?
  

What do you hope to get out of the Leadership College?
  

Payment Information

How will you be paying for your DCLC registration?
     By mailing a check      By calling in my credit card

Please review your registration to make sure that everything is correct before submitting this form.
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