KLFA Watch & Talk Party Registration

I will host a KLFA Watch & Talk Party in conjunction with the program, "Reading, Writing & A Worthwhile Education for Kansas Kids" to be aired on Sept. 23 at 7 p.m. on KTWU, KPTS in Wichita and Smokey Hills Public Television.

Yes
No

I will host a Watch & Talk Party after TV program is aired. Please send me a DVD of the program. I will return the DVD following the Watch and Talk Party.

The date I plan to host a KLFA Watch & Talk Party is:

Format: YYYY-MM-DD

If you requested a DVD of the KTWU progam: please include the name, mailing address (don't forget the zip code), phone number and email address of the individual who will receive (be responsible for) the DVD. A KLFA Host/Moderator's Guide will be emailed to you within a few days.

Time of the Party (regardless if it is held Sept. 23 or not)

Contact information for the individual(s) hosting the party. Please note: your email may be used for updates and a post-Watch & Talk Party survey.

Name
E-Mail
Name (if there is more than one host)
E-Mail

Is this a PRIVATE party, held in an individual's home, or a PUBLIC party, held at a local library or another public facility?

Private
Public

If this is a public party, the date, time, location and the name and contact information (phone and email) of the host will be posted on the KLFA Web site. Please confirm that information in the space below.

A KLFA Host/Moderator's Guide and a Participant's Guide will be e-mailed to all hosts within a few days. Please confirm the name and email of the host(s) below.