Kansas Union Day Camp

Event Dates: June 23-25, 2026 and July 7-9, 2026

Student Information

First Name

Last Name

Preferred Name

Pronouns

Email Address

Phone Number

- -

Date of Birth

Grade in School

Home Address

Home Address Line 2

City

State

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 - June 25 ($100)

Esports - League of Legends - June 23-25 ($250)

Esports - Valorant - July 7-9 ($250)

Total