Join the Kansas Restorative Schools Network

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First Name *

Last Name *

KIPCOR Restorative Schools Training Completed: DATE *

KIPCOR Restorative Schools Training Completed: LOCATION *

School *

Role at the school / Grade level *

Mailing Address *

Street Address/PO Box

City *

State/Province *

ZIP (Postal Code) *

Phone *

Email Address *

Contact information for Network Members

This information will be made public ONLY to network members to allow Member-to-Member contact. Please provide ONLY the information that you would like other members to have.

First Name

Last Name

School

Role at School / Grade Level

Mailing address

City

State

Zip Code

Phone Number

Email Address

Registration cost is $25. All memberships run January 1 - December 31.

To make payment, mail your check, made out to KIPCOR, to KIPCOR, P.O. Box 276, North Newton, KS 67117 or call (316) 284-5217 to pay with a credit card (MC, Visa, or Discover only.)