2025 Capital District Key Leader Event

Our 2025 Capital District Key Leader event will take place April 25-27, 2025 at the Skelton 4-H Educational Conference Center in Wirtz, Virginia.

Please complete the form below to register to attend:

Attendee Information
Name*
First Last
Address*
Street Address City State ZIP Code
Phone (Mobile Number Preferred)*
Email*
Name of School (if Adult write "Chaperone")*
Year of Graduation
Please enter a number from 2019 to 2030.
Date of Birth*
MM slash DD slash YYYY
Gender*
T-Shirt Size
Do you have any special needs (dietary or physical, etc) that we need to let the camp know about?
Demographic Information
How did you hear about Key Leader?*
Are you a member of?*
- Builders Club
- Key Club
- None of the Above
Have you been to a Key Leader event before?*
Sponsoring Kiwanis Club*
If registering to be a Student Facilitator, please describe why you want to serve in this capacity?
Sponsor Information
Sponsor Name (in the case of chaperones repeat attendee information)*
First Last
Sponsor – is the person or organization that will provide FUNDING for your participation in the Key Leader weekend. (Example- Kiwanis Club, School, Parent)
Sponsor Phone*
Sponsor Email*
Emergency Information
Emergency Contact Name*
First Last
Emergency Contact Phone*
Relationship to Student (as an emergency contact)*
Registration
Attendee Type*
- Student Participant
- Key Club District Board Member Participant
- Student Facilitator
- Key Club District Board Member Student Facilitator
- Adult Chaperones
- Key Leader District Committee Chaperone
*Key Club District Board Member types require prior authorization from Key Club District Administrator. *Key Leader District Committee Chaperone option requires prior authorization from Key Leader District Chairperson.
Registration Cost
$0.00
Credit Card
Card Details
Cardholder Name

Kids Need Kiwanis

2025 Capital District Key Leader Event

Attendee Information

Demographic Information

Sponsor Information

Emergency Information

Registration