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 27, 2012
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:

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