The Gift of Leadership

School Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

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Mobile Phone *

To be used if needed to contact during conference.

(###)

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Sponsor Name 1 *

First Name

Last Name

Sponsor Name 2

First Name

Last Name

Sponsor Name 3

First Name

Last Name

Conference Attendance Option *

Each school will be charged a $75.00 school registration fee in addition to the per student option below:

November 13th - Morning and Afternoon Sessions - $45/student

November 13th - Morning and Afternoon Sessions + Banquet - $60/student

Full Conference - November 13th and 14th - $75/student

I understand that once submitted I will receive an email with instructions for required registration packet to be presented on the day of the conference as well as an invoice with a required payment no later than one week before the conference. *

Yes

No