DUTD Teen Registration

Day Under the Dome Teen Track Reservation
Please complete one form for each teen being registered.
Teens may register for the Day Under the Dome Teen Track, which includes a box lunch and special presentations by American Majority and TeenPact.
The cost is $7 per teen up to a maximum of $20 per family for the Teen Track. Reservations are nonrefundable.
Payment is due in advance. Payment instructions will be emailed to you upon the completion of your registration.
First Name
Last Name
Age
Parents' Names
E-mail
Home Phone
Cell Phone
Address 1
Address 2
City
State
Zip Code
For questions, call (785) 640-0866 or email reynoldsca@aol.com.
YOU MUST HIT THE SUBMIT KEY TO COMPLETE YOUR REGISTRATION.
Any Special Notes
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Day Under the Dome Teen Track Reservation