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Application

Please complete and submit the application below to be considered for participation in Key Leader either as a student participant, student neighborhood leader, or adult chaperone.

  • Student participation is open to all high school student ages 14 to 18 years old. Attendees are not required to be members of Kiwanis programs such as Key Club.
  • Student neighborhood leaders must be 15 to 18 years of age and have previously attended a Key Leader weekend or held a leadership position in Key Club.
  • Adult chaperones must be a member of a Kiwanis club in good standing and have passed a background check.

All Fields must be completed in order to be considered for participation in Key Leader. If a field is not applicable please enter N/A



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Student Attendee ($50)Student Facilitator (No Charge)Chaperone (No Charge)


Additional Student Information (required for all Student Attendees)


Key ClubBuilders ClubNeither


YesNo


YesNo


Sponsor Information







Submitting this form by clicking on the "Send Message" button below, does not constitute acceptance into Key Leader. Further, if selected for participation in Key Leader you will be required to pay a $50 fee as a student participant (not required for student facilitators) as well as submit the medical release and media release forms prior to Key Leader weekend.