Kick Butts Day 2019 Registration
Wednesday, April 3, 2019
8:30am - 3:00pm

Please Note: This event is only open to high school youth registered as Chapters with The 84 Movement.
  • Contact Information

  • (the person attending the event)
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  • Things we should know

  • Bus Transportation

    Please indicate whether your group will use bus transportation if provided from your region.

    *Please note: Pick-up times may be early morning
  • Renewal

  • Participants:

    Each group is guaranteed space for 6 people to attend, one of which must be an adult chaperone. However, we anticipate that there will be additional room to accommodate more people from each group, so we encourage you to put people on the wait list if there are more than 6 people from your group that want to participate in Kick Butts Day.

    If you do not yet know the names of the youth who will attend, please let us know the number of youth you expect to come in the comment box at the bottom of the page.

    Note: A copy of signed consent form must be submitted for each youth participant by March 30.
  • Participant Information

  • Waiting List

    If there are more youth and adults who want to attend Kick Butts Day beyond the six spaces above, please list the names and information below. Any additional registration requests from your group will be placed on a waiting list and immediately notified as space becomes available. We will do our best to include everyone who wants to come!
  • Legislative Visit Info

    We want to make sure Chapters know exactly what's going to be happening this year. Please provide 3 times between February 15-March 10 that you would be able to speak with your 84 staff representative about the expectations surrounding Kick Butts Day and the legislative visits. We'll be able to provide you detailed information that could benefit your youth.