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Registration Form – Returning Participants

Online Registration for Returning Participants:

  • Register Below!

    This form is for individuals who have already completed KSRA's annual registration form and have registered for at least one program this year, and who wish to add more programs to their registration. After completing this form, Dawn will receive your online registration and will send you an invoice to electronically pay. If you have participant updates (e.g. medication change) please feel free to leave it in the "Comments" section so that we can update our files. Thank you!
  • Please enter a number from 0 to 99.
  • FirstLast 
  • Program NameProgram CodeProgram Date/SessionTransportation/Drop Off CostTotal Cost 
  • Submit

  • Date Format: MM slash DD slash YYYY
  • This signature represents my registration for the above program(s).