Registration Packet For Oklahoma SRD (State Recognition Day) 2010 WILD ABOUT TOPS - April 30 - May 1, 2010 At the Marriott Tulsa Southern Hills

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Registration Packet For Oklahoma SRD (State Recognition Day) 2010 WILD ABOUT TOPS - April 30 - May 1, 2010 At the Marriott Tulsa Southern Hills Time to get your Safari together (chapter members) and head for Tulsa! What a WILD time we have planned for you. We will honor our 2009 Oklahoma State Winners, Chapter and our KOPS. It is always so exciting to meet our friends from all over the State. We have a special guest speaker this year, her name is Cynthia Mack, and she is a Retreat Director, TOPS Ambassador and Area Captain. Cynthia lives in Regina, Saskatchewan Canada. She has so much knowledge to share with us, so make your plans to be in Tulsa, if you want to really learn the mystery of the exchange system. We will have early registration on Thursday evening, open up the Promotional Room and have time to socialize a little, before all the adventures of our WILD weekend start. Bring your swim suit for water exercise and all enjoy our hospitality room. Friday morning we are going on a Safari (walk) at 7:45 A. M. around the block of our hotel. Friday evening we are going to have a Talent show, Individual or Chapter, skit, songs, jokes in good taste, must be pre-approved by Field Staff. More fun on our Safari Friday evening, Chapter dress alike (Safari thru the jungle of weight loss) No prize for dress alike, just for fun, you all are so creative. Name Tags, size on chapter sign up sheet, Stuffed Animal dressed up, Shoe Box, and Safari Vehicle. Be sure to confirm your registration and turn in your items for judging by 12:00 P.M. Friday April 30, 2010. We will honor our Secretaries this year; they will go across the stage with the Chapter Angels on Friday evening during our Fun Time. This is the only SRD newsletter your chapter will receive. Please read this packet carefully to make certain all your members have the opportunity to enter any events of interest to them or events they are eligible to be in. They will want to make plans to arrive in time to attend these various functions. If you or a member of your chapter has any special needs or disability that has a special requirement, for on stage assistance, please note that on individual registration form (page 4 of 6). Events for the convention are all scheduled under one roof. The SRD committee will notify Division Winners. Page 1 of 6

Your Packet includes one copy of all required forms along with an explanation of events, as well as a tentative schedule for all activities. All participants in special events will have reserved seating. Please make copies of these forms for members planning to attend SRD. We will not be adding people to events at SRD, so be sure everyone is signed up by the deadline of, March 15th, 2010. If you want confirmation that the registration was received please send a stamped self addressed postcard with your registration. We will be doing individual registration again this year, so each member can pick up their own packet and register themselves for events they have signed up for. Please fill out an Individual Registration for everyone attending, even if they are not in any events, this will be stapled to an envelope with their program inside. Please Stress that participants in any event must be checked in at confirmation tables. We need to know who is there so we know how much seating to reserve for them. Hotel Reservations: Can be made at any time. You can deal directly with Marriott Tulsa Southern Hills, 1902 East 71st Street, Tulsa, OK 74136 Phone 918-493-7000. Be sure you mention TOPS Take off Pounds Sensibly, when you register. Must have a credit card when you call. They will give you a confirmation number. The room rate is $94.00 up to 4 people in the room, a night plus tax. Check in time 3:00 P.M. check out time 11:00 A.M. Come early and play, we will be doing early registration Thursday evening 6:00 to 8:00 P.M. That way you will be there for all the fun. Your Oklahoma Field Staff and SRD Committee are anxiously awaiting your arrival to our to our Safari destination!! Cora Pogue, SRD Chairman and Area Captain Patty Pappan, SRD Co-Chairman and Area Captain Wayne Rice, Secretary and Area Captain Kathy Harker, Area Captain Sandy Umholtz, SRD Treasurer Paula Rice, SRD Advisor and Coordinator Page 1 of 6

OK 2010 SRD - REGISTRATION & T-SHIRT ORDER FORM This form is to be used to list ALL those members in chapter who are attending SRD NO REFUNDS WILL BE GIVEN IMPORTANT! Please PRINT all information that is requested. We need to be able to read names CLEARLY Name of chapter contact person: (Leader or Treasurer) Phone # ( ) Chapter #OK, Under the appropriate column, enter the NUMBER required: Example: '1' under registration, (total at bottom of column) T-Shirt Name of Member Registration (see chart for pricing) T-Shirt color- TAN (Please print) @$35.00 Size Price 2000 Gilden Ultra Cotton 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Total number cost is $40.00 after 3-15-10-no charm THIS FORM MUST BE RETURNED NO LATER THAN MARCH 15, 2010 Total to be remitted to SRD treasurer @ $35.00 ea = $ = $ 100% cotton Design in black on front and sleeve Size Price SM, M, L, XL $12.00 Registrations: $ GRAND TOTAL 2X $14.00 3X $15.00 4X $16.00 5X $17.00 6X $18.00 $ Totals SRD charm is included in $35.00 price only Oklahoma TOPS SRD CHAPTER CK # c/o Sandy Umholtz SEND A CHAPTER CHECK FOR THE GRAND TOTAL TO: 2925 South 140th East Avenue Chapter checks should be make out to Oklahoma TOPS SRD Tulsa, OK 74134 Page 3 of 6 T-Shirt Pricing If you have more than 25 members attending SRD, copy this form and continue amounts on to a second page. Copy page to add more members later.

Leader Name Phone # ( ) 8-Chapter Angel - Name OK 2010 SRD - SPECIAL CHAPTER EVENT PARTICIPATION FORM This form is to be used for chapter who will be participating in any of the special events PLEASE SUBMIT ONE FORM FOR CHAPTER PARTICIPATING IMPORTANT! Be certain that you complete ALL the information requested for EACH category Chapter #OK, IMPORTANT!! IN ORDER TO BE RECOGNIZED ON STAGE, THIS FORM MUST BE RETURNED NO LATER THAN MARCH 15, 2010 2-Chapter Shoebox Safari Vehicle 3-Chapter Dressed Stuffed Animal 4-Chapter Nametag (must be wearable) 5-Chapter Jungle Costume Parade 6 - Talent Show 7 - Chapter Secretary - Name YES OR NO YES OR NO YES OR NO YES OR NO CHAPTER OR INDIVIDUAL MAIL THIS FORM TO: PAULA RICE 1614 SOUTH ASH PLACE BROKEN ARROW, OK 74012 INSTRUCTIONS FOR COMPLETING THIS FORM 1. Mark an 'X' in box for EACH event that your chapter will participating in. 2. Safari Vehnicle - shoebox size, all parts handmade, no break parts of other items and chapter name on it - prizes 3. Chapter Dressed Stuffed Animal - no large animals - prizes 4. Chapter SRD Theme Nametag-must be wearable, size 2 X 3.5 to 3 x 5 inches and chapter name on it - prizes 5. Chapter Jungle Costume Parade - for fun - no prizes 6. Talent Show - Chapter or Indiviadual (must be pre-approved and performed at area funday) - no prizes 7. Chapter Secretary will be going across stage with chapter angel - please give name 8. Chapter Angel will be going across stage with chapter secretary - please give name DRESS CODE REQUIREMENTS FOR FRIDAY- Costume or TOPS attire in good taste 5 of 6

T-SHIRT ORDERED YES OR NO OK 2010 SRD - INDIVIDUAL REGISTRATION This form is to be used for any members who is coming to SRD or participating in any of the special events PLEASE SUBMIT ONE FORM PER MEMBER COMING TO SRD IMPORTANT! Please PRINT all information that is requested. We need to be able to read all names CLEARLY Be certain that you complete ALL the information requested for EACH category Member Name: Leader Name Chapter #OK, ****************IMPORTANT!! IN ORDER TO BE RECOGNIZED ON STAGE, THIS FORM MUST BE RETURNED NO LATER THAN MARCH 15, 2010 Phone # ( ) Phone # ( ) 2-Century Club New Alumni 3-Chapter 4-Past State 5-Before and After 50 # loss 6-Family in TOPS 7-Chapter Angel or Secretary 8 -Talent Show 9-40 YEAR CLUB MEMBER IN TOPS YR YR # loss yes / no yes / no YES OR NO SIZE- KOPS Grad. Alumni Merit 5/10/15 etc. Necklace Special Needs YR YR yes / no DRESS CODE REQUIREMENTS FOR FRIDAY- Costume or TOPS attire in good taste FOR SATURDAY ON STAGE EVENTS Ladies - Dressy pant suits, below knee length or long dresses or skirt & blouse. Please nothing above the knee nothing or mini skirts and not slacks or jeans and a baggy top -it means dressy pant suits. Please no bare shoulders. Men - tuxedos, business suits and ties. NOTE: Female graduating KOPS are required to wear solid white. INSTRUCTIONS FOR COMPLETING THIS FORM 1. Copy this form for each member coming to SRD. Mark an 'X' in box for EACH event they are participating in. 2. Century Club Alumni wear your Century Medallion. 3. Chapter bring your chapter crown to wear. 4. Past wear your state crown and sash also. 5. Before and After must have 50# loss from highest recorded TOPS weight. Must send in a before picture or you can't go acros stage. Bring baggie garment to parade. 6. Family in TOPS bring own signs. 7. Chapter Angel and Secretary will cross stage together. 8. Talent show - must be pre-approved and performed at area funday. 9. Member of TOPS 40 years or longer. 4 of 6 MAIL THIS FORM TO: PAULA RICE 1614 SOUTH ASH PLACE BROKEN ARROW, OK 74012

This form is to be used for those members who will be participating in any of the special events PLEASE SUBMIT ONE FORM PER MEMBER PARTICIPATING Chapter SRD Theme Dress-A- Like OK 2008 SRD - SPECIAL EVENT PARTICIPATION FORM IMPORTANT! Please PRINT all information that is requested. We need to be able to read all names CLEARLY Be certain that you complete ALL the information requested for EACH category Member Name: Phone # ( ) Leader Name Phone # ( ) Chapter #OK 2-Century Club New Alumni 3- Chapter, ****************IMPORTANT!! IN ORDER TO BE RECOGNIZED ON STAGE, THIS FORM MUST BE RETURNED NO LATER THAN MARCH 15, 2008 4-Past State 5-Before and After 50 # loss 6-Family in TOPS 7-Young at Heart (75+ Yrs.) 8-State TOPS Greastest Improvement 8-State KOPS Charm & Beauty Weight Recorders YR # loss Age KOPS Grad. Alumni # Yrs. Merit 5/10/15 etc. Necklace YR DRESS CODE REQUIREMENTS FOR FRIDAY- Costume or TOPS attire in good taste FOR SATURDAY ON STAGE EVENTS Ladies - Long dresses or long skirt and blouse. Palazzos (long, wide-legged pants) are acceptable. Men - tuxedos, business suits and ties, or military uniforms. NOTE: Female graduating KOPS are required to wear solid white INSTRUCTIONS FOR COMPLETING THIS FORM 1. Mark an X in box for EACH event that you are participating in. 2. Century Club wear your Century Medallion. 3. Chapter wear your chapter crown to wear. 4. Past wear your state crown and sash to wear. 5. Before & After bring your largest size garment on a hanger or yardstick. 6. Family in TOPS bring your own signs-3 to 6 " letters on 11X14 paper or half a poster board. 7. Young at Heart, state age. 8. State TOPS Greatest Improvement or KOPS Charm and Beauty fill out form and send pictures and success story. MAIL THIS FORM TO: PAULA RICE 1614 SOUTH ASH PLACE BROKEN ARROW, OK 74012 4 of 6

TENNATIVE 2010 SRD SCHEDULE OF ACTIVITIES All 2010 SRD events and sessions will be at the Marriott Tulsa Southern Hills 1902 East 71 st Street, Tulsa, OK 74136 ph 918/493-7000 THURSDAY April 29, 2010 6:00 pm to 8:00 pm- Early Registration/Confirmation-Council Oak Ballroom Promotional Sales Hospitality Foyer Council Oak Ballroom Salon D Council Oak Ballroom Salon E 6:45 pm to 7:15 pm - Water Exercises Pool Area FRIDAY April 30, 2010 7:45 am to 9:00 am Walk Council Oak Ballroom Foyer Salon 10:00 am to 4:00 pm - Registration/Confirmation-Council Oak Ballroom Foyer Promotional Sales (see room for hours) Council Oak Ballroom Salon D Judging Items Display/Hospitality Council Oak Ballroom Salon E 12:00 pm Entry deadline for judging items Council Oak Ballroom Salon E 10:00 am 11:30 Something???? Council Oak Ballroom Salon A, B & C Break 12:00 pm to 1:00 pm 1:00 pm - 2:45 pm Workshop Beverly Staniak, TOPS Regional- Council Oak 3:00 pm - 4:00 pm Workshop Speaker??? Council Oak Salon A,B&C Men s Caucus Council Oak Ballroom Salon E Break 4:00 pm to 6:00 pm Fun Session Council Oak Ballroom Salon A, B & C 6:00 pm Those in the parades need to be in seat for Friday session 6:30 pm Chapter Roll call parades (Parades: Family in TOPS, Young at Heart, 2009 Chapter Secretary and Angels, Theme Dress-A-Like and Before and After. Chapter Contest winners for: Decorated Safari Vehicle shoebox, Decorated Stuffed Animal and Theme Nametag contest Winner). Dress code FRIDAY ONLY-costume or TOPS attire in good taste. Please be sure to collect your judged items after last session. The Council Oak Ballroom Salon E will be open immediately after the Friday Night Fun Session, for night owls who want to play games, etc. till midnight. SATURDAY May 1, 2010 KOPS and State Winner Session Grand Ballroom 8:30 a.m. - Those in the parades need to be in seat for Saturday session 9:00 am. Basket Drawing and introduction of staff (Parades: 2008 State, KOPS Honor Societies Parade and KOPS Honor Society KOPS of Year, KOPS Longevity Awards, KOPS Graduates and KOPS of Long Standing Parade. Very short breaks Century Club new recipients and Alumni, Past State and Chapter. TOPS State Division Winners, State and Circle of Lights). Dress code SATURDAY- Ladies Floor or below the knee dresses or skirt and blouse. Palazzos (FLOOR, wide-legged pants) are acceptable. Please no bare shoulders. Graduates solid white. Men tuxedos or business suits and ties. 6 of 6