Registration Form KWN

First Name*
Last Name*
School Name/Organization*
School Name/Organization Mailing Address*
School Name/Organization Street Address Line 2
School Name/Organization Address City*
School Name/Organization Address State/Province*
School Name/Organization Address Postal/Zip Code*
Mobile Phone Number*
Best Time to Call*
Best Summer Phone Number*
Your Email Address*
How many kids do you anticipate in total participating in KWN?*
What ages are your students?*

10-1213-18
What do you teach?*

ScienceEngineeringMathTechnologyFinance/Economics/BusinessHealthVisual/Performing ArtsLanguage ArtsReadingSocial StudiesHistoryCareer and Technical EducationFamily and Consumer SciencesAfterschoolOther
Please provide a secondary contact at your school or organization*

First NameLast Name
Title
Email Address for Secondary Contact*
example@example.com
How did you hear about KWN? Please share any applicable organizations and/or associations*
Do you participate in KWN in the past?*

YesNo
Please share how you plan to incorporate KWN into your school/organization*
Do you know another school or organization that works with students/youth on video production? Feel free to share your recommendation!
Name
School/Organization
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Should be Empty: