Western Kentucky KSEC Community Events Sign-Up
KSEC is hosting a variety of events in Western Kentucky this fall for students and young people age 15-30. We will need a rough headcount to ensure all events are properly resourced. Please select the events you are interested in below and add your personal information.

For any questions, email our Western Kentucky Campus Coordinator at tyler.s.hill23@gmail.com.

Email address *
Name *
Your answer
Phone Number *
Your answer
Date of Birth *
MM
/
DD
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YYYY
Emergency Contact *
Your answer
Emergency Contact Phone Number *
Your answer
Where are you travelling from for events? *
Your answer
Can you provide your own transportation to events? *
Can you provide transportation for others? *
Will you need a travel reimbursement to offset the cost of your gas contribution? If so, please estimate your need. *
Your answer
Do you have any known allergies? *
Your answer
Are you taking any medication? *
Your answer
Do you have specific dietary needs? *
Do you have any other needs, including ones relevant to the events listed above? *
Your answer
Please select all events in which you are interested in participating.
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