Kansans Can Competencies - Self Regulation Event Registration
June 8, 2021
8:30 AM - 2:30 PM
Southwest Plains Conference Center
810 W. Lark Avenue, Sublette
or Virtual via Zoom
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
District Number *
How will you be attending this event? *
Building Name *
Position *
Cell Phone Number *
This will be used for EMERGENCY event notifications only.
Who will be paying the registration fee? *
REGISTRATIONS/CANCELLATIONS:  Trainings with less than 5 registrations are subject to cancellation one week prior to the event date. In the event of a cancellation, registered participants will receive notice by email at the address entered during registration. No email notice is indicative that the event will proceed as scheduled. *
Would you like to receive notifications about professional learning opportunities and resources? *
How did you hear about this event? *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Southwest Plains Regional Service Center. Report Abuse