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2018 Pacific Northwest DLC
July 15th - 21st
What do your friends call you? This will go on your name tag.
Attendee Phone #
We will respond to you at this email.
If your Parent's can't be reach who should we call?
Parent's Phone #
Emergency Phone #
What number should we use if we can't reach anyone at the contact number?
Chapter Advisor's Name
Advisor's Phone #
If you have any food allergies please indicate what they are here.
Tell us your what Chapter you are from.
Previous Offices Held
Shirt Size (adult)
Tell us your shirt size.
Have you received your RD?
Did you receive a Jurisdictional Scholarship?
Highest LCC Completed
Have you been to DLC before?
Three or more times
Please download a copy of the Medical Release / Parental Consent and fill it out completely. Once you have your form complete and signed by both the attendee and his parents/guardian you will need to scan it and attach it here. You will not be able to register for DLC without it. If you have questions about this feel free to contact us.
Upload Your Medical Release / Parental Consent
Max file size: 20MB
Click Here to Download a
Parental Consent Form
Once you submit your registration you will be given two payment options. Please indicate if you are submitting an electronic payment or a check in the mail.
Electronic Payment thru PayPal
Check by mail
Other (indicate in comment field the details)
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