KSEC Fall Summit 2019 Registration
The Fall Summit is a chance to come together with fellow student activists from across the state to learn about the environmental issues that Kentucky faces and how we can organize our campuses to influence legislation and create effective change. Join us for a weekend of building grassroots power through workshops, trainings, planning for the coming year, good food and good company.

When: Oct 11-13
Where: Union College, Barbourville, KY

Questions? Email tyler.s.hill23@gmail.com
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Email *
Name: *
Phone Number: *
Date of Birth: *
xx/xx/xxxx
Will you be coming as a member of an established campus group, a newer campus group, a campus, or a community? *
Name of Campus or Community: *
ex. Murray State University or Georgetown
Emergency Contact: *
Name
Emergency Contact Phone Number: *
To offset the costs of travel, we will be organizing carpools from different areas across KY, will you need help in finding a carpool? *
Please keep in mind gas costs should be split by all carpool members
Will you need a travel scholarship to help offset your gas contribution? *
If yes, please estimate your need.
Do you have any known allergies? *
food, medication, seasonal, bee stings, etc.?
Are you taking any medications? *
Prescription, over the counter, and/or herbal
Do you have any dietary needs? *
Required
Do you have any other needs that you would like us to know about? *
When do you plan to arrive and leave?
The agenda goes from Friday evening until Sunday afternoon. If you don't know, just say so and we'll follow up with you closer to the date of the summit.
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