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Kansas Day at the Museum - Registration

Use this form to register for Kansas Day at the Kansas Museum of History. Your registration will be complete when you receive a confirmation.

Day of the Week: Friday  

Date:

 January 29, 2015  

Start Time:

  

Tour:

Number of students:

  

Grade:

  

Number of adults:

  

Contact Person:

  

Phone Number:

  

School/Organization:

  

USD:

  

Address:

  

City:

  

State:

  

ZIP Code:

  

County, if Kansas:

  

Disabilities/Special Needs

  

Museum Store:

  

Email Address:

  

Additional Comments: