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Booster to Belts Program Completion Form

Thanks for completing the Booster to Belts program in your community!
Please fill out the form below. When this form is complete, KTSRO will process your reimbursement (if applicable).
If you completed the program in more than 1 elementary school, please fill out a separate form for each school. K-3rd grade students at each school must have be given the presentation for the speaker reimbursement.
Haven’t completed the Booster to Belts program yet? Go HERE to apply!

Your Contact Information
Completion Information
Date Submitted:

File Upload

Please upload 1-2 photos of your team completing the program for a payment to be completed. The photos may be in one of these file formats: JPG, GIF, or PNG. Each photo uploaded must be 10 Megabytes in size or less.

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