2019 KCFA National Annual Conference

Name

Spouse Name (First and Last)

This address will receive a confirmation email

Phone

Address

Child 1 (Up to 16)

Child 1 Birthdate

Child 2 (Up to 16)

Child 2 Birthdate

Child 3 (Up to 16)

Child 3 Birthdate

Child 4 (Up to 16 years)

Child 4 Birthdate

Child (over 16)

Other Registration ($70 for additional resident child; $40 for additional commuter child)

Arrival

Departure

Room 1 (LEAVE BLANK. To be completed by KCFA)

Room 2 (LEAVE BLANK. To be completed by KCFA)

Room 3 (LEAVE BLANK. To be completed by KCFA)

Room 4 (LEAVE BLANK. To be completed by KCFA)

Balance Due (LEAVE BLANK. To be completed by KCFA)

Meal Card(s) (LEAVE BLANK. To be completed by KCFA)

Here's the fine Print. Pre-registration fee will be applied to the total conference cost. Pre-registration fee is non-transferable and non-refundable. Commuter fees do NOT include room or meals. There is no charge for children 0-6 years old. There will be a $20 key deposit. This amount will refunded at the end of the conference when key is returned.

For questions: kcfanational@gmail.com

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Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

2019 KCFA National Annual Conference

Description

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