SRC Fall 2021 Online Registration

INSTRUCTIONS: Use the TAB key or MOUSE to move through the various fields. DO NOT press the Enter key or Submit button until you have completed your entries, verified the total amount and accepted the Terms and Conditions at the bottom of the Form. To reset the form or cancel use your Browser's BACK button before pressing Submit.

To avoid the possibility of duplicate registration please DO NOT press the SUBMIT button more than once.

Register Online

  • Member / Guest Information

    Registration for Fall of 2021 Event
    Please tell us where you are staying so we can coordinate shuttle service, parking, and emergency contact.
  • Registration

    Conference Registration - $70 per Individual Member / $130 per Couple. After September 1st price increases to $80 per individual member / $150 per couple.
  • Select Individual Member or Couple registration.
  • T-Shirt Purchase

    Pre-order here to ensure you get a conference / event t-shirt. T-shirt orders must be accompanied by a full conference registration. T-shirts ordered are only available for pickup at the conference, they will not be shipped. Availability of T-shirts for purchase at the conference may be limited. A donation of $1.00 from every event T-shirt sold will be made to the SRC Band-Aid Fund. The SRC Band-Aid Fund is an accident injury fund similar to, and in supplemental to, the Blue Knights International BOG Special Fund. T-shirts must be ordered no later than SEPTEMBER 1st.
  • Enter Quantity of Shirts Desired
  • Enter Quantity of Shirts Desired
  • Enter Quantity of Shirts Desired
  • Enter Quantity of Shirts Desired
  • Enter Quantity of Shirts Desired
  • Enter Quantity of Shirts Desired
  • Enter Quantity of Shirts Desired
  • Payments / Refund Policy

    Registering online using this form requires a valid credit/debit card. Prices on this form are in US Dollars. Refunds will be considered in accordance with guidelines set forth by Blue Knights International and the SRC pertaining to hosting a regional conference. Refunds will be made back to the original method of purchase. Additional refund information can be found at www.bksrcfall2020.com/refunds.
  • Enter Quantity in Number of $1 increments. - If you wish to make a donation to the SRC Band-Aid Fund you may do so here in increments of $1. A donation is optional and not required. Leave the field blank if you do not wish to donate. The SRC Band-Aid Fund is an accident injury fund similar to, and in supplemental to, the Blue Knights International BOG Special Fund.
  • $0.00
    This amount will be charged your credit/debit card. You will receive a confirmation upon successful registration and payment. You will also receive an email confirmation with your order details.
  • Chapter use only.
  • Chapter use only.
  • Chapter use only.
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    To avoid the possibility of duplicate registration and charge DO NOT press the SUBMIT button more than once. Upon successful registration and payment you will receive a confirmation on this site and a confirmation and order total via email.
  • This field is for validation purposes and should be left unchanged.