2017 KGTC Region 5 Adult Registration
This form is used to register and indicate session preferences for the Region 5 Conference scheduled for Friday, April 14, 2017. The conference will be held at Maize High School in Maize Kansas, slightly west of the Wichita area. Please use the STUDENT form to register student participants. Contact Leigh Johnson at
if you need a copy of the student registration form sent to you, or check the box with that option below.
Name of Person Registering
Street Address for contact
Phone number (optional)
Categorize yourself (pick all that apply)
Regular Education Teacher
Other interested adult
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