Pre-Register for Florida Elks at Grand Lodge Convention

Please enter the registration information for both you and your spouse/guest. Should you need to enter more than one guest you will need to complete and submit your initial registration first and then add more guests through an additional registration. If doing this, it is not necessary to re-enter yourself again. From the information you provide, we will make your convention name badges. After entering your information and clicking next you will be taken to a screen to review your badge(s). Should you require changes to a badge simply hit back on your browser and fix your information. Once you have reviewed your name badge(s)and are satisfied with how they will look, click submit. You will receive a confirmation number that will confirm that you have pre-registered.
Select Your Lodge and Enter Pre-Registration Below
	SELECT LODGE Lodges outside of Florida Apopka Arcadia Aripeka Boca Raton Bonita Springs\Estero Bradenton Brandon Brooksville Cape Coral Clewiston Cocoa Cocoa Beach Crestview Deep Creek Deland Delray Beach Dunedin/Clearwater Edgewater-NSB Englewood Eustis Florida Keys Fort Myers Fort Pierce Fort Walton Gainesville Greater Pine Island Green Cove Springs Holiday Isles Holley-Navarre Hollywood West Inverness Jacksonville Jupiter Key West Kissimmee Lake City Lake Placid Lakeland Lakewood Ranch-Sarasota Largo Live Oak Manasota Mandarin St. Johns Marathon Merritt Island Miami Naples New Port Richey North Fort Myers Oakland Park Ocala Orange Park Orlando Ormond Beach Palm Coast Palmetto Parrish Pensacola Beach Perry Plant City Pompano Beach Port Orange Port St. Lucie Punta Gorda Rotonda S. Miami\Coral Gables Sanford Sarasota South Sebastian Sebring Seminole South Hillsborough South Lake St. Augustine St. Petersburg Stuart-Jensen Tallahassee Tampa Tarpon Springs Titusville Twin Cities Venice-Nokomis Vero Beach Viera Warrington West Citrus West Palm Beach Winter Garden Winter Park Zephyrhills
Selected Lodge:
	Nickname will be displayed on the top line of the badge in large print. If you don't have one, please use your first name.
Nickname:
First Name:
Last Name:
Gender:	MaleFemale
Membership Status:	MemberNon-MemberWidow/Widower
FLOE Member:	YesNo
Guest Nickname:
Guest First Name:
Guest Last Name:
Gender:	MaleFemale
Membership Status:	MemberNon-Member
FLOE Member:	YesNo
Spouse:	YesNo
Email:
Confirm Email: