Please use the form below to register online.

TexHoma 24-25 2nd Quarter District Meeting Registration

Registration fee is $75 for the full weekend. Register online at texhomaoptimist.org or Contact KENDRA ROPER EMAIL: KROPER3301@GMAIL.COM PHONE: 214-457-3914 Please ensure all registration requests are sent to Kendra in writing if not done online

Enter Contact Information Below (Fields in red are required)
Yes, make this a contact person for registration announcements and reminders. *Email address will be required below.
Registering as	Adult - I AUTHORIZE and WILL ATTEND with my child Adult - I AUTHORIZE but WILL NOT ATTEND with my child Youth - I am registering as a participating YOUTH Adult Optimist Member/Guest - I am an Optimist Member or Guest
First Name of this registrant	Mr Mrs Ms Dr
Last Name of this registrant	Jr. Sr. III
Gender	Male Female
Email *Required only if contact person
Date Of Birth	Month: Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910
Home/Main Phone
Reminder Preference	Email Phone None
Is this your first Optimist event?	Yes    No
Please describe any special accommodations needed.

Do you have a registration code? If you've been instructed (or required) to enter a registration code, please enter it here.

Additional Contact Information
Address 1
Address Cont'd
City
State - Province	Select one... AlabamaAlabamaAlaskaAlaskaArizonaArizonaArkansasArkansasCaliforniaCaliforniaColoradoColoradoConnecticutConnecticutDelawareDelawareFloridaFloridaGeorgiaGeorgiaHawaiiHawaiiIdahoIdahoIllinoisIllinoisIndianaIndianaIowaIowaKansasKansasKentuckyKentuckyLouisianaLouisianaMaineMaineMarylandMarylandMassachusettsMassachusettsMichiganMichiganMinnesotaMinnesotaMississippiMississippiMissouriMissouriMontanaMontanaNebraskaNebraskaNevadaNevadaNew HampshireNew HampshireNew JerseyNew JerseyNew MexicoNew MexicoNew YorkNew YorkNorth CarolinaNorth CarolinaNorth DakotaNorth DakotaOhioOhioOklahomaOklahomaOregonOregonPennsylvaniaPennsylvaniaRhode IslandRhode IslandSouth CarolinaSouth CarolinaSouth DakotaSouth DakotaTennesseeTennesseeTexasTexasUtahUtahVermontVermontVirginiaVirginiaWashingtonWashingtonWest VirginiaWest VirginiaWisconsinWisconsinWyomingWyomingAlbertaAlbertaBritish ColumbiaBritish ColumbiaManitobaManitobaNew BrunswickNew BrunswickNewfoundland and LabradorNewfoundland and LabradorNorthwest TerritoriesNorthwest TerritoriesNova ScotiaNova ScotiaNunavutNunavutOntarioOntarioPrince Edward IslandPrince Edward IslandQuebecQuebecSaskatchewanSaskatchewanYukonYukon
Postal Code
Country	Select one... United StatesUnited StatesUS Minor Outlying IslandsUS Minor Outlying IslandsAfghanistanAfghanistanAland IslandsAland IslandsAlbaniaAlbaniaAlgeriaAlgeriaAmerican SamoaAmerican SamoaAndorraAndorraAngolaAngolaAnguillaAnguillaAntarcticaAntarcticaAntigua And BarbudaAntigua And BarbudaArgentinaArgentinaArmeniaArmeniaArubaArubaAustraliaAustraliaAustriaAustriaAzerbaijanAzerbaijanBahamasBahamasBahrainBahrainBangladeshBangladeshBarbadosBarbadosBelarusBelarusBelgiumBelgiumBelizeBelizeBeninBeninBermudaBermudaBhutanBhutanBoliviaBoliviaBosnia And HerzegovinaBosnia And HerzegovinaBotswanaBotswanaBouvet IslandBouvet IslandBrazilBrazilBritish Indian Ocean TerritoryBritish Indian Ocean TerritoryBrunei DarussalamBrunei DarussalamBulgariaBulgariaBurkina FasoBurkina FasoBurundiBurundiCambodiaCambodiaCameroonCameroonCanadaCanadaCape VerdeCape VerdeCayman IslandsCayman IslandsCentral African RepublicCentral African RepublicChadChadChileChileChinaChinaChristmas IslandChristmas IslandCocos (Keeling) IslandsCocos (Keeling) IslandsColombiaColombiaComorosComorosCongoCongoCongo, Dem RepublicCongo, Dem RepublicCook IslandsCook IslandsCosta RicaCosta RicaCote D'IvoireCote D'IvoireCroatiaCroatiaCubaCubaCyprusCyprusCzech RepublicCzech RepublicDenmarkDenmarkDjiboutiDjiboutiDominicaDominicaDominican RepublicDominican RepublicEcuadorEcuadorEgyptEgyptEl SalvadorEl SalvadorEquatorial GuineaEquatorial GuineaEritreaEritreaEstoniaEstoniaEthiopiaEthiopiaFalkland Islands (Malvinas)Falkland Islands (Malvinas)Faroe IslandsFaroe IslandsFijiFijiFinlandFinlandFranceFranceFrench GuianaFrench GuianaFrench PolynesiaFrench PolynesiaFrench Southern TerritoriesFrench Southern TerritoriesGabonGabonGambiaGambiaGeorgiaGeorgiaGermanyGermanyGhanaGhanaGibraltarGibraltarGreeceGreeceGreenlandGreenlandGrenadaGrenadaGuadeloupeGuadeloupeGuamGuamGuatemalaGuatemalaGuernseyGuernseyGuineaGuineaGuinea-BissauGuinea-BissauGuyanaGuyanaHaitiHaitiHeard Island/Mcdonald IslandsHeard Island/Mcdonald IslandsHoly See (Vatican City State)Holy See (Vatican City State)HondurasHondurasHong KongHong KongHungaryHungaryIcelandIcelandIndiaIndiaIndonesiaIndonesiaIran, Islamic Republic OfIran, Islamic Republic OfIraqIraqIrelandIrelandIsle Of ManIsle Of ManIsraelIsraelItalyItalyJamaicaJamaicaJapanJapanJerseyJerseyJordanJordanKazakhstanKazakhstanKenyaKenyaKiribatiKiribatiKorea, Dem Peoples RepublicKorea, Dem Peoples RepublicKorea, Republic OfKorea, Republic OfKuwaitKuwaitKyrgyzstanKyrgyzstanLao Peoples RepublicLao Peoples RepublicLatviaLatviaLebanonLebanonLesothoLesothoLiberiaLiberiaLibyan Arab JamahiriyaLibyan Arab JamahiriyaLiechtensteinLiechtensteinLithuaniaLithuaniaLuxembourgLuxembourgMacaoMacaoMacedonia/Former YugoslavMacedonia/Former YugoslavMadagascarMadagascarMalawiMalawiMalaysiaMalaysiaMaldivesMaldivesMaliMaliMaltaMaltaMarshall IslandsMarshall IslandsMartiniqueMartiniqueMauritaniaMauritaniaMauritiusMauritiusMayotteMayotteMexicoMexicoMicronesiaMicronesiaMoldovaMoldovaMonacoMonacoMongoliaMongoliaMontserratMontserratMoroccoMoroccoMozambiqueMozambiqueMyanmarMyanmarNamibiaNamibiaNauruNauruNepalNepalNetherlandsNetherlandsNetherlands AntillesNetherlands AntillesNew CaledoniaNew CaledoniaNew ZealandNew ZealandNicaraguaNicaraguaNigerNigerNigeriaNigeriaNiueNiueNorfolk IslandNorfolk IslandNorthern Mariana IslandsNorthern Mariana IslandsNorwayNorwayOmanOmanPakistanPakistanPalauPalauPalestinian Territory, OccupiedPalestinian Territory, OccupiedPanamaPanamaPapua New GuineaPapua New GuineaParaguayParaguayPeruPeruPhilippinesPhilippinesPitcairnPitcairnPolandPolandPortugalPortugalPuerto RicoPuerto RicoQatarQatarReunionReunionRomaniaRomaniaRussian FederationRussian FederationRwandaRwandaSaint HelenaSaint HelenaSaint Kitts And NevisSaint Kitts And NevisSaint LuciaSaint LuciaSaint Pierre And MiquelonSaint Pierre And MiquelonSaint Vincent And The GrenadinesSaint Vincent And The GrenadinesSamoaSamoaSan MarinoSan MarinoSao Tome And PrincipeSao Tome And PrincipeSaudi ArabiaSaudi ArabiaSenegalSenegalSerbia And MontenegroSerbia And MontenegroSeychellesSeychellesSierra LeoneSierra LeoneSingaporeSingaporeSlovakiaSlovakiaSloveniaSloveniaSolomon IslandsSolomon IslandsSomaliaSomaliaSouth AfricaSouth AfricaSouth Georgia/So Sandwich IslandsSouth Georgia/So Sandwich IslandsSpainSpainSri LankaSri LankaSudanSudanSurinameSurinameSvalbard And Jan MayenSvalbard And Jan MayenSwazilandSwazilandSwedenSwedenSwitzerlandSwitzerlandSyrian Arab RepublicSyrian Arab RepublicTaiwan, Province Of ChinaTaiwan, Province Of ChinaTajikistanTajikistanTanzania, United Republic OfTanzania, United Republic OfThailandThailandTimor-LesteTimor-LesteTogoTogoTokelauTokelauTongaTongaTrinidad And TobagoTrinidad And TobagoTunisiaTunisiaTurkeyTurkeyTurkmenistanTurkmenistanTurks And Caicos IslandsTurks And Caicos IslandsTuvaluTuvaluUgandaUgandaUkraineUkraineUnited Arab EmiratesUnited Arab EmiratesUruguayUruguayUzbekistanUzbekistanVanuatuVanuatuVenezuelaVenezuelaViet NamViet NamVirgin Islands, BritishVirgin Islands, BritishVirgin Islands, U.S.Virgin Islands, U.S.United StatesUnited StatesUS Minor Outlying IslandsUS Minor Outlying IslandsUnited KingdomUnited KingdomWallis And FutunaWallis And FutunaWestern SaharaWestern SaharaYemenYemenZambiaZambiaZimbabweZimbabwe(Not Specified)(Not Specified)