Fall 2026 Key Leader Pre-Registration

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*

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 (No Funds will be Collected yet)*

Student Participant – $250.00
Key Club District Board Member Participant – $200.00
Student Facilitator – $150.00
Key Club District Board Member Student Facilitator – $100.00
Adult Chaperones – $125.00
Key Leader District Committee Chaperone – Free

*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.

I would be interested in learning about scholarships available to help with the Key Leader registration fee

Yes

Limited scholarships will be available based on financial need and those who receive them will be required to pay a fee to attend the event and receive a refund after participating.

My school or sponsoring Kiwanis club is paying my registration

Registration Cost

$0.00

Kids Need Kiwanis

Attendee Information

Demographic Information

Sponsor Information

Emergency Information

Registration

Capital District Kiwanis