2024 ISI Student/Scholar Square Dance/Line Dancing Registration

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Email *

First Name *

Given Name

Last Name *

Family Name

Cell Phone *

Street Address *

City *

State *

Zip Code *

Country *

(Country where you were born)

Gender *

Male

Female

School *

AVILA

KUMC

UMKC

Park

UCM

Other:

Required

Student/Scholar/Spouse Status *

Undergraduate student

Masters Student

PhD Student

Postdoc

Visiting scholar

Professor

Spouse of student/scholar

I need transportation to the Line Dancing End of the Year Picnic *

Yes

Required

KUMC Students & Scholars Pickup Place You will Wait at

Holiday Inn Express back entrance (parking lot side) - other side of Rainbow Blvd.

Other:

Do you now receive ISI emails about events and services *

Yes

Required

Food preferences *

Pure vegetarian

Mostly vegetarian but eat chicken

Non-vegetarian but will eat vegetables to make mom happy

Liability Release Form

Release of Liability Statement and Hold Harmless Agreement for International Students, Inc. (ISI) *

In appreciation and consideration of ISI affording me the opportunity to participate in the event/activity indicated below I agree that I participate in this event/activity solely at my own risk. I waive, release and agree to hold harmless ISI, its agents, employees and volunteers from any and all property damage, personal injury or other claims of whatever nature made by myself or others related to my participation in this event/activity.

Yes

No - You cannot participate if you mark no

Media Release Form

May we take pictures taken of you at ISI events for Facebook, Website and other promo materials *

Yes

No - You will have to let us know what you look like so we don't add pics of you

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