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 leanjo66@gmail.com 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
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Street Address for contact
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City
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State
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Zip Code
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Phone number (optional)
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Email address
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Categorize yourself (pick all that apply)
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