Regional Forum Registration Form - Zones 10-11 - 2025 Lions District 410E Regional Forums

The registration fee for the 2025 District 410E Regional Forum for Zones 10-11 is R350 per attendee with optional events on the Friday and Saturday evenings for additional costs.

The details of your registration will be sent to you, including a unique registration number. Payment details will also be included in that email. Please use your registration number as a reference when paying.

First Name:

Last Name:

Club:

Cell Phone:

A cellphone number the attendee can be reached at if needed.

Email Address:

Dietary Requirements:

Dietary requirements for any of the attendees - eg halal, kosher, vegetarian, allergic to dairy

I Will Be Attending the Forum (R350)

I Will Be Attending the Friday Night Bring-and-Braai (no cost)

I Will Be Attending the Sunset River Cruise on Saturday Afternoon (R150)

I Will Be Attending the Saturday Music Trivia and Speed Friending Evening (no cost)

Total Cost: R350