Please fill in all fields, then click SEND to begin registering for the Symposium.
Please note: when we receive your payment (or $100 deposit), you are then fully registered.

Options:




Scholarships (check only if applicable):



Uncheck Scholarship options

Please note: Although a Scholarship covers your Symposium costs plus transportation, a deposit is still REQUIRED to complete your registration. For those receiving a scholarship, your deposit will be refunded to you at the Symposium.

Your Cost:

$

Please mail full payment
(or $100 deposit) to:
Carmel 150
300 N. Broadway
Leavenworth, KS 66048

Hit the SEND button to submit this form.
Note: your deposit or payment is still needed to be fully registered.