Day at the Statehouse Registration

Attendee Information

Please enter info for the attendee. If you plan to register multiple attendees at a time, choose one to be the primary point of contact. You will list additional attendees next.

Attendee registration is $50/each and payment for registration will be required below via credit card.

The KFB Foundation can no longer offer grants for this activity. As a result, the cost of Day at the Statehouse must be paid by either the county or the attendee directly. If you have any questions, please contact Kyler Langvardt (langvardtk@kfb.org).

Attendee Name

First NameLast Name

Attendee County

Attendee Email

example@example.com

Attendee Phone

Format: (000) 000-0000.

Attendee Meals

Additional Attendees

How many additional attendees will you have?

Email addresses will be required for each attendee so they can receive conference communications

Attendee 2 Name

First NameLast Name

Attendee 2 Email

example@example.com

Attendee 2 Meals

Attendee 3 Name

First NameLast Name

Attendee 3 Email

example@example.com

Attendee 3 Meals

Attendee 4 Name

First NameLast Name

Attendee 4 Email

example@example.com

Attendee 4 Meals

Attendee 5 Name

First NameLast Name

Attendee 5 Email

example@example.com

Attendee 5 Meals

Attendee 6 Name

First NameLast Name

Attendee 6 Email

example@example.com

Attendee 6 Meals

Attendee 7 Name

First NameLast Name

Attendee 7 Email

example@example.com

Attendee 7 Meals

Attendee 8 Name

First NameLast Name

Attendee 8 Email

example@example.com

Attendee 8 Meals

Attendee 9 Name

First NameLast Name

Attendee 9 Email

example@example.com

Attendee 9 Meals

Attendee 10 Name

First NameLast Name

Attendee 10 Email

example@example.com

Attendee 10 Meals

Does anyone in your group have any dietary restrictions?

In Case of Emergency (ICE) Contact

Please lists someone who will not be attending this event with you

ICE Name

First NameLast Name

ICE Relationship

ICE Phone

Format: (000) 000-0000.

I acknowledge that hotel reservations must be made on my own. KFB has hotel blocks at the Cyrus Hotel and Springhill Suites and will provide complimentary transportation for attendees between the Cyrus Hotel and meeting locations at Townsite Towers/Capitol.

Hotel Info:

The Cyrus - $179/night

920 S Kansas Ave

(785) 596-0500

Springhill Suites - $129/night

2745 SW Fairlawn Rd

(785) 596-9650

Calculation

Total Due Today

USDDay at the Statehouse Registration

Payment Methods

Debit or Credit Card

ACH Bank Transfer

Additional note or comments

Where would you like the receipt to be emailed?

example@example.com

By attending Day at the Statehouse, attendees grant and convey unto KFB all rights, title and interest in any and all photographic images and video or audio recordings made by KFB during the meeting and any attached events.

Day at the Statehouse Registration

Total Due Today*

Total Due Today