Join the Kansas Restorative Schools Network

First Name *

Your answer

Last Name *

Your answer

KIPCOR Restorative Schools Training Completed: DATE *

Your answer

KIPCOR Restorative Schools Training Completed: LOCATION *

Your answer

School *

Your answer

Role at the school / Grade level *

Your answer

Mailing Address *

Street Address/PO Box

Your answer

City *

Your answer

State/Province *

Your answer

ZIP (Postal Code) *

Your answer

Phone *

Your answer

Email Address *

Your answer

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

Your answer

Last Name

Your answer

School

Your answer

Role at School / Grade Level

Your answer

Mailing address

Your answer

City

Your answer

State

Your answer

Zip Code

Your answer

Phone Number

Your answer

Email Address

Your answer

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.)