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2026 Lions Roar Convention
Registration Form
Venue and Accommodation
Programme
Transportation
Convention Registration Form
The registration fee for the 2026 MD410 Convention is
R1900
per attendee for a full registration.
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. Payment can either be made in full or in several partial payments.
Registrations will close on 30 March 2026 -
no late registrations will be accepted
.
If your registration is cancelled earlier than 30 days before your date of arrival, your payment will be refunded in full except for a R50 admin fee.
Cancellations later than 30 days before your date of arrival will not be refunded as the full expenses will already have been incurred for the registration.
First Attendee
First Name(s):
Attendee's first name or names. Please use a real name rather than a nickname - nicknames can however be used for the name badge later in this form.
Last Name:
Name Badge:
The name to appear on the attendee's name badge. eg Joe Bloggs; Lion John Doe, ZC Wendy Bloggs, PDG Jane Doe
Lions Club:
Please select a club
Alberton
Amanzimtoti
Athlone
Ballito
Bedfordview
Benoni Host
Benoni Lakes
Benoni Van Rhyn
Bergvliet
Bloemfontein
Brackenfell
Brackenfell Leos
Bredasdorp
Cape Of Good Hope
Cape Town
Centurion
Centurion Lifestyle
Ceres
Cowies Hill
De Grendel
Durban Host
Durban South
Durbanville
Durbanville Fisantekraal
Durbanville Leos
East Coast
East London Beacon Bay
East London Port Rex
Eden
Edenvale
Estcourt
FIsh Hoek Deep South
Fish Hoek
Fish Hoek Leos
Fort Beaufort
Franschhoek
Gansbaai
George
Gonubie
Gordonia
Gordons Bay
Groote Schuur
Grootfontein
Helderberg
Helderkruin
Henley On Klip
Henties Bay
Hibberdene
Hilton
Hout Bay
Howick-uMngeni
Kensington
Kimberley
King William’s Town
Kingsburgh
Kirstenbosch
Klerksdorp
Knysna
Komga
Kouga
Krugersdorp
Kuils River
Ladysmith
Letaba Tzaneen
Malgas
Malmesbury
Manzini
Merriman
Midrand
Milnerton
Mitchells Plain
Moorreesburg
Mossel Bay St Blaize
Mossel Bay St Blaize Leos
Nelspruit
Newcastle
Newlands
North Durban
North Pine
Northcliff
Otavi
Paarl
Polokwane
Port Alfred
Port Elizabeth Cape Recife
Port Elizabeth Host
Port Elizabeth St Croix
Port Shepstone
Porterville
Potchefstroom
Pretoria City
Pretoria Jakaranda
Pretoria South
Ramsgate
Rehoboth
Reitz
Roodepoort Clearwater Cyber
Roodepoort Host
Rustenburg
Scottburgh
Sea Point
Sedgefield
Sedgefield Leos
Shelly Beach
Standerton
Stellenbosch
Stilfontein
Still Bay
Swakopmund
Swakopmund Leos
Swellendam
Table View
The Wilds
Tokai
Tsumeb
Tulbagh
Tygerberg Hills
Uitenhage
Uniondale
Vereeniging
Vredendal
Vryheid
Walvis Bay
Wellington
Weltevreden
Wilro Park
Windhoek
Windhoek Alte Feste
Worcester
Other Club
District:
Please select a District
District 410E
District 410W
Other District
Cell Phone:
A cellphone number the attendee can be reached at if needed. This number may also be used for urgent SMSes for changes of plan during the convention.
Emergency Contact:
The name and number of a person
not
travelling with you to call in case of an emergency.
Email Address:
Dietary Requirements:
Please be VERY clear with these requirements. eg halal, kosher, vegetarian, allergic to dairy
Special Access Requirements:
Please indicate any requirements for wheel chair access or the like, if applicable
Medical Conditions:
Please indicate any medical conditions the organisers should be aware of, in case of an emergency
Attendee will attend the Melvin Jones Lunch.
This lunch is only open to Melvin Jones Fellows and may carry an extra cost. Details will be provided closer to the time.
Attendee will attend the PDGs function.
This event is only open to PDG's and their partners. The event is for each attendee's own cost. Further details will be provided closer to the time.
Attendee will attend the President's Elect Breakfast.
A gathering for Lions who will serve as club president in the 2026/27 Lionistic year, paid for by MD410.
No partner will be coming with me
My Lion partner will be coming with me
My non-Lion partner in service will be coming with me
Lion Partner
First Name(s):
Attendee's first name or names. Please use a real name rather than a nickname - nicknames can however be used for the name badge later in this form.
Last Name:
Name Badge:
The name to appear on the attendee's name badge. eg Joe Bloggs; Lion John Doe, ZC Wendy Bloggs, PDG Jane Doe
Lions Club:
Please select a club
Alberton
Amanzimtoti
Athlone
Ballito
Bedfordview
Benoni Host
Benoni Lakes
Benoni Van Rhyn
Bergvliet
Bloemfontein
Brackenfell
Brackenfell Leos
Bredasdorp
Cape Of Good Hope
Cape Town
Centurion
Centurion Lifestyle
Ceres
Cowies Hill
De Grendel
Durban Host
Durban South
Durbanville
Durbanville Fisantekraal
Durbanville Leos
East Coast
East London Beacon Bay
East London Port Rex
Eden
Edenvale
Estcourt
FIsh Hoek Deep South
Fish Hoek
Fish Hoek Leos
Fort Beaufort
Franschhoek
Gansbaai
George
Gonubie
Gordonia
Gordons Bay
Groote Schuur
Grootfontein
Helderberg
Helderkruin
Henley On Klip
Henties Bay
Hibberdene
Hilton
Hout Bay
Howick-uMngeni
Kensington
Kimberley
King William’s Town
Kingsburgh
Kirstenbosch
Klerksdorp
Knysna
Komga
Kouga
Krugersdorp
Kuils River
Ladysmith
Letaba Tzaneen
Malgas
Malmesbury
Manzini
Merriman
Midrand
Milnerton
Mitchells Plain
Moorreesburg
Mossel Bay St Blaize
Mossel Bay St Blaize Leos
Nelspruit
Newcastle
Newlands
North Durban
North Pine
Northcliff
Otavi
Paarl
Polokwane
Port Alfred
Port Elizabeth Cape Recife
Port Elizabeth Host
Port Elizabeth St Croix
Port Shepstone
Porterville
Potchefstroom
Pretoria City
Pretoria Jakaranda
Pretoria South
Ramsgate
Rehoboth
Reitz
Roodepoort Clearwater Cyber
Roodepoort Host
Rustenburg
Scottburgh
Sea Point
Sedgefield
Sedgefield Leos
Shelly Beach
Standerton
Stellenbosch
Stilfontein
Still Bay
Swakopmund
Swakopmund Leos
Swellendam
Table View
The Wilds
Tokai
Tsumeb
Tulbagh
Tygerberg Hills
Uitenhage
Uniondale
Vereeniging
Vredendal
Vryheid
Walvis Bay
Wellington
Weltevreden
Wilro Park
Windhoek
Windhoek Alte Feste
Worcester
Other Club
District:
Please select a District
District 410E
District 410W
Other District
Cell Phone:
A cellphone number the attendee can be reached at if needed. This number may also be used for urgent SMSes for changes of plan during the convention.
Emergency Contact:
The name and number of a person
not
travelling with you to call in case of an emergency.
Email Address:
Dietary Requirements:
Please be VERY clear with these requirements. eg halal, kosher, vegetarian, allergic to dairy
Special Access Requirements:
Please indicate any requirements for wheel chair access or the like, if applicable
Medical Conditions:
Please indicate any medical conditions the organisers should be aware of, in case of an emergency
Attendee will attend the Melvin Jones Lunch.
This lunch is only open to Melvin Jones Fellows and may carry an extra cost. Details will be provided closer to the time.
Attendee will attend the PDGs function.
This event is only open to PDG's and their partners. The event is for each attendee's own cost. Further details will be provided closer to the time.
Attendee will attend the President's Elect Breakfast.
A gathering for Lions who will serve as club president in the 2026/27 Lionistic year, paid for by MD410.
Non Lion Partner
First Name(s):
Attendee's first name or names. Please use a real name rather than a nickname - nicknames can however be used for the name badge later in this form.
Last Name:
Name Badge:
The name to appear on the attendee's name badge. eg Joe Bloggs, Partner in Service Jane Doe
Cell Phone:
A cellphone number the attendee can be reached at if needed. This number may also be used for urgent SMSes for changes of plan during the convention.
Emergency Contact:
The name and number of a person
not
travelling with you to call in case of an emergency.
Email Address:
Dietary Requirements:
Please be VERY clear with these requirements. eg halal, kosher, vegetarian, allergic to dairy
Special Access Requirements:
Please indicate any requirements for wheel chair access or the like, if applicable
Medical Conditions:
Please indicate any medical conditions the organisers should be aware of, in case of an emergency
Attendee will attend the Melvin Jones Lunch.
This lunch is only open to Melvin Jones Fellows and may carry an extra cost. Details will be provided closer to the time.
Attendee will attend the PDGs function.
This event is only open to PDG's and their partners. The event is for each attendee's own cost. Further details will be provided closer to the time.
Registration Type
Full Registration (R1900/person)
Partial Registration (select options below)
Full registration includes three dinner functions, District and MD conventions plus teas/coffees/juice and lunch for the conventions.
Partial Registration Options
Number of Welcome Evening Registrations (R400 per person):
Number of District Convention Registrations (including lunch) (R480 per person):
Number of Banquet Registrations (R550 per person):
Number of Multiple District Convention Registrations (including lunch) (R480 per person):
Number of Theme Evening Registrations (R400 per person):
Accommodation
Attendee(s) will be staying at the Midrand Premier Hotel
Attendee(s) will
not
be staying at the Midrand Premier Hotel
Accommodation bookings at the Midrand Premier Hotel should be made directly with the hotel -
click here for further details
.
Convention Pins
Total Number of Convention Pins (R65 per pin):
Total Cost: R1900
Submit Registration Form