Kansas Union Day Camp

Event Dates: July 23 & 24, 2026

Student Information

First Name

Last Name

Preferred Name

Pronouns

Email Address

Phone Number

- -

Date of Birth

Grade in School

- Select -8th 9th 10th 11th 12th

Home Address

Home Address Line 2

City

State

- Select -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zipcode

Representing High School

Any special accommodations?

Emergency Contact Information

Contact Name

Contact phone

- -

Contact Email

Relation to Student

Registration Information

Registering for

KJHK Summer Camp - July 24 ($100)

Esports League of Legends - July 23 ($100)

Hidden Total

Total

Proceed