Knights of Columbus State Convention
Knights of the Rosary
Jackson April 25-27, 2025
Hilton Hotel

Convention Delegate Form

After you enter the names and press Submit, the next screen will present a pair of Delegate Slips ready for printing. You must print the slip and the Financial Secretary of the Council certify the names with a signature and Council Seal if available. Delegates are to present these slips to the Delegate Registrar at convention.

To replace or amend list of delegates you previously submitted, complete a new delegate registration form for all delegates. The new list will replace all the delegates previously submitted. At this time there is not a way to replace or add single delegates to a list previously submitted.

Entries for Delegate or Alternate: All fields must be completed for each delegate submitted.

"Leave Position Empty" checkbox: Check to leave a position empty.

Values marked * must be completed.

* Council Number:
Council Officer Completing this form:
* First Name: * Last Name:
* Office:

By submitting this form, I certify that the following members of our Council have been duly elected to serve as delegates to the 2025 Annual State Convention to be held in Jackson, MS on April 25-27, 2025.

PositionLeave Position EmptyDelegate Detail
* Delegate 1 Must submit
a name
for this Delegate		 First: Last:
Phone: Member No:
Office:
Delegate 2 First: Last:
Phone: Member No:
Office:
Alternate 1First: Last:
Phone: Member No:
Office:
Alternate 2First: Last:
Phone: Member No:
Office: