NeighborWorks NTI KC In-Person Registration Info

For the safety of our event attendees, the event size will be limited in capacity.

Please fill out this form to complete registration.

People Type *Not sure if your organization is a NeighborWorks Network Member for member pricing? Check the list

Network Package *

Network Organization *

Organization Name *

Organization Sector *

Staff Organization *

Prefix *

Gender

Race

Job Title *

Primary Phone # *

Primary Phone Ext #

Mobile Phone Number *

Mailing Address 1 *

Mailing Address 2

Mailing City *

Mailing State *

Mailing Zip *

Any special needs as described by the Americans with Disabilities Act? *

Special Needs Description *

What is your preferred social media platform?

What is your handle/user ID on that platform?

How did you first learn about this training institute?

I heard about this institute from

Enter social media channel

I am aware that by traveling to, attending, and participating in an in-person NeighborWorks America Event there is a risk of being exposed to COVID‐19. I am also aware that such exposure may occur even where all attendees adhere to the COVID-19 Policy & Safety Protocols and take reasonable efforts to mitigate the risk of transmission. I have considered my own- and my family’s- health risks in deciding to attend the NeighborWorks America Event. By registering (either personally or through a designated representative for my company/organization) I acknowledge and agree to the following:
(1) I understand and assume the risks associated with exposure to COVID-19 while traveling to and attending the NeighborWorks America Event;
(2) I agree on my own behalf -- and that of my personal representatives, heirs, and assigns -- to release, waive, and discharge NeighborWorks America, its officers, directors, employees, volunteers, contractors, sponsors, and agents from liability for any COVID-related damages or claims arising from my attendance at this in-person NeighborWorks America Event. *

By registering for this event, I agree to read and follow the COVID-19 Policy & Safety Protocols. I understand that I will be required to provide proof that I am fully vaccinated against COVID-19, that my vaccination status will be confirmed by a third-party vendor, and that I will be required to follow the event mask wearing requirements. *

Registration Fields