International Headquarters will create a registration form for your district event or program. To do so, please complete the details your form will need below. Any funds received in association with a district registration form will be credited to the district’s budget. 

Once submitted, please allow up to 7 business days for your form to be created. With any questions, please contact Priscilla Denard at priscilla@civitan.org

District OLX Form Request

Name of Person Requesting Form(Required)
What event or program are you creating a form for?
MM slash DD slash YYYY
Event/Program Time(Required)
:
Event/Program Address
What does this fee cover?
What information do you need from attendees?(Required)
Please include name and email address of each person
District Budget, All-In Summit, etc.