Western Kentucky KSEC Community Events Sign-Up
KSEC is hosting a variety of events in Western Kentucky this fall for students and young people age 15-30. We will need a rough headcount to ensure all events are properly resourced. Please select the events you are interested in below and add your personal information.

For any questions, email our Western Kentucky Campus Coordinator at tyler.s.hill23@gmail.com.
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Email *
Name *
Phone Number *
Date of Birth *
MM
/
DD
/
YYYY
Emergency Contact *
Emergency Contact Phone Number *
Where are you travelling from for events? *
Can you provide your own transportation to events? *
Can you provide transportation for others? *
Will you need a travel reimbursement to offset the cost of your gas contribution? If so, please estimate your need. *
Do you have any known allergies? *
Are you taking any medication? *
Do you have specific dietary needs? *
Do you have any other needs, including ones relevant to the events listed above? *
Please select all events in which you are interested in participating.
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