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Teacher First Name
Teacher Last Name
Home Address
City
State
Zip Code
Home Phone
Email Address
School Name
School Address
City
State
Zip Code
School Phone
School District # USD#
*please put the school district number only.
County
Grade
*please put the grade number only. If more than one grade, list all.
Subject
Type of School: Public Private/Church Home College/Pre-school

What days will you be attending?
Monday 9/12 Tuesday 9/13 Wednesday 9/14 Thursday 9/15 Friday 9/16

Estimated Arrival Time 8am-9am 9am-10am 10am-11am 11am-Noon After Noon

Do you wish to have a Kansas State Fair host accompany your group? Yes No

Would you like to be contacted to have more questions answered? Yes No
When is the best time to contact you?

PAYMENT METHOD: Online with Credit Card Check by Mail
Payment is due at time of registration.

Total Number of Students to Attend KLC (including those 5 and under)

Regular Student Tickets ($2.00 apiece, children under 5 do not require a general gate admission ticket)
Quantity

* These tickets are good for students Tuesday thru Friday 9/13-9/16. You will also receive one complimentary adult ticket for every four regular student tickets ordered.

Number of Complimentary Tickets (intended for use by teachers, parents, or bus drivers)
* This number will be automatically generated. Complimentary tickets are only for Tuesday-Friday. Dollar Day Monday tickets do not include complimentary tickets.
You qualify for   complimentary tickets.

If you need fewer complimentary tickets, please specify the number of complimentary tickets needed.

Additional Sponsor/Adult Tickets (non-refundable) ($8.00 apiece)
Quantity

 

NOTE: Tickets will not be mailed, All tickets must be picked up at The Little Red Schoolhouse upon arrival.

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