KCSC Road Trippers Registration Form

KCSC Road Trippers' Registration Form

Please fill out the below form to register for our upcoming road trip! This program is for older adults who want to go places with likeminded and similarly aged people. The KCSC Road Trippers' will offer regional day trip travel experiences designed with lifelong learners in mind — those who want to learn about our destinations and experience new adventures in a group setting.
Wednesday, May 6, 2026
Union Station - Historical Gangster Tour and lunch at Harvey's at the Station.

Step into Kansas City’s gangster era with a guided trolley tour starting at Union Station. Explore notorious stories and historic sites, then return for a delicious lunch at Harvey’s at the Station.

Registration deadline is April 28, 2026.

Meet us at Union Station: 30 W Pershing Rd, Kansas City, MO 64108

The cost per person for this trip is $40. You will be directed to the Pay for Programs page of our website after you complete this form.

SEATS ARE VERY LIMITED, Registration will close when at capacity!

To pay by check, please call Adaire Stewart 816-293-9612.

Additonal details will be provided closer to the trip date via email to you.
Union Station - Historical Gangster Tour

May 6, 2026
Name of Attendee (Please fill out a form for each attendee separately):*

First NameLast Name
Are You Attending Alone or With Someone?
If Attending With Someone, Please Provide Their Name Here:
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
CellHomeWork
Email:
example@example.com
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Person:*

First NameLast Name
Emergency Contact Phone Number:*
Please enter a valid phone number.Format: (000) 000-0000.
We will have lunch at Harvey's at the Station. Please take a look at menu options and make your selection!
Harvey's OriginalKC ClassicMel's SpinachSouthern ChickenThe Club CarHarvey's Mac & CheeseChicken Tender PlatterDueling Hummus
Please describe any medical concerns, disabilities that you wish to share.
I recognize that there are certain inherent risks associated with the above referenced activity and I assume full responsibility for personal injury to myself and further release and discharge KC Shepherd's Center (KCSC) for injury, loss, or damage arising out of my participation in the above mentioned activity, whether caused by myself, KCSC or other third parties. I further agree to relieve KCSC or any cooperating persons or agencies of any liability in case of injury in conjunction with participation in this activity. KCSC recommends that I check with my physician before participating in any activity that is more strenuous than my normal activity.

I authorize KCSC to use, at its discretion, any photograph taken while participating in the program and waive any and all claims that I or my heirs or assigns may have or claim to have resulting from such photograph (s) or reproduction thereof.
Signature
Thank you for registering! Please leave any comments or questions you may have below.
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KCSC Road Trippers' Registration Form

Union Station - Historical Gangster Tour

We will have lunch at Harvey's at the Station. Please take a look at menu options and make your selection!