Online Delegate Certification Form 2023

Filing Deadline: August 1, 2023

BYLAWS REQUIRE EVERY FLORIDA DISTRICT KIWANIS CLUB TO BE REGISTERED FOR THE CONVENTION.
All Kiwanis Clubs in good standing are entitled to 3 delegates to the District Convention. A minimum
of 1 delegate is required. All Past Lt. Governors regardless of the district served, who are members
in good standing in a Florida District Kiwanis Club may be certified as Delegates-at-Large at the
District Convention.

Past, Current Lt. Governors may represent any club in their division at the District Conventions.
Incoming Lt. Governors can only be seated as Delegates-at-Large or Delegates of their home club.
Alternates and Delegates-at-Large do not qualify for the $20 delegate credit.

Delegate Form

Division(Required)

Club Name(Required)

The following members have been elected as CLUB DELEGATES ($20.00 Credit)

Delegate #1

Delegate #2

Delegate #3

The following members have been elected as CLUB ALTERNATES and may take the place of a delegate who fails to attend or to be certified at the convention. Alternates and Delegates-at-Large do not qualify for the $20.00 delegate credit when registering.

Alternate #1

Alternate #2

Alternate #3

Please list the names of any PAST LT. GOVERNORS from your club will be attending the District Convention. Past Lt. Governors are entitled to be certified as delegates-at-large. They may be seated in the House of Delegates in addition to your club's 3 delegates. Incoming Lieutenant Governors may be seated as delegates-at-large and can only represent the club in which they belong. (Alternates and delegates-at-large, including 2023-24 and 2024-25 Lt. Governors do not qualify for the $20.00 delegate credit).

Signature: President(Required)

Secretary(Required)

Phone

This field is for validation purposes and should be left unchanged.

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Online Delegate Certification Form 2023

Delegate Form

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