Old Kia Kima
Fall Gathering
September 17-20, 2026
Online Registration

Registration begins August 15. Meal prices increase $2 per meal after September 13. Last day to register is September 17.

This form will allow you to register yourself and up to 3 family members.

gd Fill in the requested information then click the "REGISTER" button at the bottom of the page.

Payment options:
1) Pay online now using a credit card or Paypal account.
2) Pay at Old Kia Kima with a check, cash or credit card.

DUES MUST BE CURRENT in order to participate in the Annual Member Meeting on Saturday.

Check here if this is an amended/corrected registration.

* First Name:

* Last Name:

Nickname:

* Email:

* required field

Select planned DAY of arrival Select planned TIME of arrival
Wednesday
Thursday
Friday
Saturday
Morning
Afternoon

All fees are per person except registration for spouse and children under 18.

Registration Cost Select One
Week / Weekend $40.00
Saturday banquet only 0.00

Lodging Donation
$50		 Donation
Amount		 Click –/+ to Select
Optional Cabin Donation $
        

Canoe & Raft Trip
$50 per person		 Trip
Amount		 Click –/+ to Select
Friday - 8am $
        

Other Activities Day - Time Click –/+ to Select
Target Shoot Saturday - 9am        
Golf Saturday - 8am        
Fishing Tournament Friday - 6am &
Saturday - 6am		        
Other activity suggestion:

The last day to register for these meal prices is September 13. Meal prices increase by $2 per meal after September 13.

Meal Per Person Click –/+ to Select
Wednesday Dinner $14.00        
Thursday Lunch $8.00        
Thursday Dinner $14.00        
Friday Lunch $8.00        
Friday Dinner $14.00        
Saturday Pancake Breakfast $8.00        
Saturday Lunch $8.00        
Saturday OKKPA Banquet $22.00        
Sunday Continental Breakfast FREE        
Meals subtotal = $

2026 Membership

Membership Type Renewal New

Membership Level Amount Select One
Patron $500.00
Legacy $400.00
Sponsor $300.00
Heritage $200.00
Active $100.00
Contributing $50.00
Not paying now $0.00

Donation to the General Fund: $

Donation to the Endowment Fund: $

Comments:

Total Amount Due = $

Be sure to verify your information. You will NOT be able to edit this information after it is sent. To make changes, fill out the form again and resubmit.

After clicking the "REGISTER" button below, you will get a Registration Confirmation page showing your information. You will also receive an emailed confirmation. Allow a few minutes for the emailed confirmation to be delivered. Also look in your email SPAM folder.

You will have the option to make a Paypal or credit card payment from the Registration Confirmation page.

If you have questions about your registration or this online registration form, contact Richard Wertz at rwertz@prodigy.net .