MLK Day "Village Talk" Registration Form
Monday, January 17th - 12pm-2pm
DeLaSalle Education Center
3737 Troost Ave, KCMO
(Virtual Option is available as well!)

Please use this form to register your student for our MLK Day "Village Talk" event! Your student will not be able to participate if the registration form isn't completed.

This event is for students in grades 6-12. Event will include lunch, breakout session, and brief panel discussion led by our Village KC youth advisory board.

During breakout sessions, students will create vision boards while discussing their goals, identify barriers that could potentially keep them from living out their dreams, and talk through strategies that can help keep them focused. 



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Email *
Will your student be participating in-person or virtual? *
What is your name? (first, last) *
Home Address? *
Phone Number: *
What is Student #1 name? (First/Last) *
Student #1  School: *
Student #1 Grade: *
What is Student #2 name? (First/Last)
Student #2 School:
Student #2 Grade:
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