Training Events and Workshops Calendar

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Online Registration Form for KUTC Training
Notes:

A separate registration form will need to be completed for EACH registrant, UNLESS otherwise noted.

Kansas registrants will be given first registration priority.

Enter your email address to get a confirmation mail of your registration.

Please fill up all the fields marked with an "*"

Click register on completion of the form.

Name of Training for Which You Are Registering:*

Date:*

Location:*

Your Name:*

     Your Title:

OR

Contact Name:

     Contact Title:

     Names of Those Who Will Attend:

Agency:*

Address:*

City:*

State:*

Zip Code:*

Phone:*

Fax:

Email:*

Disability Accommodation Needed: Yes No

Payment Style: Payment to Follow Please bill my agency

Concerns you would like the instructor(s) to discuss: (40 words or less)*