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Please provide the information requested during the registration process. Your member profile will only be visible to other registered members of this website. Please note that you can choose to hide some information, such as your street address or personal telephone number, from other registered users.
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User Info


Contact Info

The purpose of this web site is to facilitate contact between KSPAN members and other safety and injury prevention professionals, so you must enter an address that will be visible to other members.  In most cases, this should be your work or organizational address.  If you do not have an address other than your personal or home address, and do not wish to share your personal address, please contact the KSPAN Executive Director to request site and/or KSPAN membership.

Entering a personal or home address is strictly optional.  If you choose to enter a personal or home address, you may elect to hide it from all other users except the site administrator and KSPAN Executive Director by selecting "Private" from the drop down list associated with each field.

About Me

My Interests

If you are a KSPAN member, you have the opportunity to participate in a variety of topic-specific working groups within the organization.  If you would like to participate in one or more workgroups, please select the workgroup(s) you would like to participate in below.


Please check the appropriate box(es) below to indicate the topic(s) you would like to read about in the KSPAN Newsletter.  The Newsletter is published approximately every two months and will be delivered to you via e-mail in electronic format.

Thanks for completing our registration form! 

Before clicking the Next button below, please insure that you have completed all of the required fields.  (Required fields are marked by a star to the right of the field.) 



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