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, March 25, 2026
Johnson County Arts and Heritage Museum Tour

Enjoy a day filled with culture, history, and connection as we visit the Johnson County Arts and Heritage Museum. Explore engaging exhibits that showcase the rich stories, art, and traditions of the region while learning more about the community that surrounds us. We will also gather for a relaxing lunch in the space!

Registration deadline is March 20, 2026.

Bring a friend!

We will be meeting at the Johnson County ARts and Heritage Center located at 8788 Metcalf Ave, Overland Park, KS 66212

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.

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.
Johnson County Arts and Heritage Museum Tour

March 25, 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.
Phone Type*

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.
Lunch is provided and will be from Chicken Salad Chick. Guests will receive the delicious chicken salad sandwich served on a baked, fluffy croissant, along with a side of seasonal fresh fruit.

Yes, I would like lunchNo, I will bring my own lunch
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.
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KCSC Road Trippers' Registration Form

Johnson County Arts and Heritage Museum Tour