Kansas City Out-of-School Time Summit

WHEN: April 27th, 9:00AM-3:00PM
WHERE: Kauffman Foundation Conference Center
WHO: YOU! Out-of-school time staff, leaders and partners!

How Many People are you registering?

Full Name #1 (pronouns optional)

Full Name #2 (pronouns optional)

Full Name #3 (pronouns optional)

Full Name #4 (pronouns optional)

Full Name #5 (pronouns optional)

Full Name #6 (pronouns optional)

Full Name #7 (pronouns optional)

Full Name #8 (pronouns optional)

Full Name #9 (pronouns optional)

Full Name #10 (pronouns optional)

Full Name #11 (pronouns optional)

Full Name #12 (pronouns optional)

Full Name #13 (pronouns optional)

Full Name #14 (pronouns optional)

Full Name #15 (pronouns optional)

Full Name #16 (pronouns optional)

Full Name #17 (pronouns optional)

Full Name #18 (pronouns optional)

Full Name #19 (pronouns optional)

Full Name #20 (pronouns optional)

Mailing Address

City

State

Zipcode

Organization and Program Site

Position

County(s) Your Program Serves (please list)

Registration Fee

Approximate Number of Youth Served

Approximately How Many Staff Do You Supervise and/or Train?

All Names

Dietary restrictions