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Leadership and Well-being Registration
Please fill up this registration to register for the Leadership and Well-being program. Once your registration is complete you will receive a follow up email with the information for the payment.
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* Indicates required question
Salutation
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Mr.
Mrs.
Other:
First Name
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Your answer
Last Name
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Your answer
Phone Number
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Your answer
Email
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Your answer
Address (Street #, Street, City, Province, Postal Code
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Your answer
Please select your availability and preference for the discussion circle from 1 to 5. Each session will be an hour.
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1
2
3
4
Tuesday at 9:30 am EST
Tuesday at 7 pm EST
Wednesday at 3:30 pm EST
Thursday at 12:00 pm EST
Friday at 9:30 am EST
1
2
3
4
Tuesday at 9:30 am EST
Tuesday at 7 pm EST
Wednesday at 3:30 pm EST
Thursday at 12:00 pm EST
Friday at 9:30 am EST
Briefly describe your current leadership roles.
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Your answer
This program is part of my professional development plan supported by my employer.
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Yes
No
Other:
Group discount is available for two more. Please confirm if you are registering as part of group.
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Yes
No
Required
I would like to receive emails from Providence School of Transformative Leadership and Spirituality such as event invitations, communications and newsletters.
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Yes
No
Comments.
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Your answer
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