Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Are you new to KSC? *

Yes

No

May we add your email to our mailing list to receive KSC announcements? *

Yes

No

I'm already on it

Is any or all of your contact information new? *

Yes

No

Will you be attending in-person or via Zoom? *

In-person

Via Zoom

Are you interested in volunteering? *

Yes

No

If so, which team would you prefer to help? Check all that apply.

Welcome (registration/greeter/usher)

Technology (Zoom host/sound). Training available if needed

Support Team (tidy crew/take down)

Date

MM

DD

YYYY

Registration will be complete when the office has received payment in-full.

I understand