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Wisconsin-Upper Michigan District
Chartered in 1918
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Wisconsin-Upper Michigan Kiwanis District
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Kids Need Kiwanis
Key Leader Registration
Key Leader Registration 2026
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Key Leader Registration Form
Please use a separate registration form for each person attending Key Leader.
Name
(Required)
First
Last
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Email
(Required)
Enter Email
Confirm Email
Gender
(Required)
Male
Female
Birth Date
(Required)
MM slash DD slash YYYY
T-Shirt Size
(Required)
Small
Medium
Large
XL
2XL
3XL
Dietary Restrictions or Physical Restrictions
Registrant Type
(Required)
Key Leader Participant
Student Facilitator
Adult Chaperone
Who are You Affiliated With? Please provide your School's or Organization's Name.
(Required)
What grade are you in?
(Required)
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
College 1st Year
College 2nd Year
Do you belong to a Kiwanis SLP?
(Required)
Key Club
Circle K
Builders Club
None
Attended Key Leader Before?
(Required)
Yes
No
Sponsoring Organization
If an individual or an organization are funding your Key Leader registration fees, please provide the following contact information:
Who is Funding Your Registration Fee?
(Required)
Sponsor's Name
(Required)
First
Last
Sponsoring Organization
(Required)
Phone
(Required)
Email
(Required)
Enter Email
Confirm Email
Emergency Contact Information
Please list your parent or legal guardian’s name if you are under 18 years of age, as well as their contact information. We require an emergency contact person even if you are an adult.
Emergency Contact Name
(Required)
First
Last
Emergency Contact Phone
(Required)
Emergency Contact Email
(Required)
Enter Email
Confirm Email
Required Forms
All attendees must complete and sign a Code of Conduct and Medical Form. Both forms are available on the main Key Leader page: https://k30.site.kiwanis.org/key-leader/.
Upload Signed Code of Conduct Form
(Required)
Max. file size: 100 MB.
Upload Signed Medical Form
(Required)
Max. file size: 100 MB.
Cancellation Policy
If you cancel your registration 30 days or more prior to the event date, you will receive a full refund. If you cancel your registration 8-29 days prior to the event date, you will receive a 50% refund. If you cancel your registration 7 days or less prior to the event date, there will be no refund issued. All refunds will be issued after the event.
Payment Information
Registration is $250 per person which must be paid by all participants by card or check. If paying by check, an invoice will be emailed to the address provided above. Checks for registration fees, payable to WIUM Key Leader, can be mailed to Justin Hahn at 1641 Fox River Parkway, Waukesha, WI 53189.
Registration Fee (Per Person)
(Required)
Price:
Payment Method
Check
Credit Card
Credit Card Information
Credit Card
MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number
Expiration Date
Security Code
Cardholder Name
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Upcoming events
Ripon Noon Kiwanis Club Anniversary 03/06/1924
Ripon Noon Kiwanis Club Anniversary 03/06/1924
March 06, 2026
12:00 am - 11:59 pm
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06
Mar
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Key Leader Registration
Upcoming events
Ripon Noon Kiwanis Club Anniversary 03/06/1924
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