The Leadership Challenge Workshop Registration Form

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The Leadership Challenge Workshop Registration Form - September 2023

Event Timing:

September 18-19, 2023 | The Leadership Challenge Workshop | 8:00 - 4:30 each day
September 20-21, 2023 | The Leadership Challenge Facilitator Training | 8:00 - 4:30 each day

September 25-26, 2023 | The Leadership Challenge LPI Coach Virtual Session | 8:00 - 3:00 each day

Early Bird Registration Deadline: August 18, 2023

The Leadership Challenge Workshop and Facilitator Training will be held in Austin, Texas.

LPI Coach Training will be Virtual via Zoom.

Inicia la sessió a Google per desar el teu progrés. Més informació

Adreça electrònica *

Which session(s) will you attend? *

The Leadership Challenge Two-Day Workshop: September 18-19, 2023

The Leadership Challenge Facilitator Training: September 20-21, 2023

The Leadership Challenge LPI Coach: September 25-26 , 2023

Obligatori

First and Last Name *

First Name/Nickname *

Organization *

Title *

Mailing Address (street address, city, state, zip) *

Office Phone Number

Cell Phone Number *

PRICING OPTIONS

Early Bird Registration qualifies as a Registration Form & Payment submitted by August 18, 2023

Additional Discounts
Government, Nonprofit, and Educational Organizations - 10%
Attend two or more workshops - 5%

Please choose from the following pricing options: *

EARLY BIRD - Two-Day Workshop - $2,395

EARLY BIRD - Facilitator Training - $2,395

EARLY BIRD - LPI Coach Training (I possess a Facilitator Kit purchased after May 2017) - $1,495

EARLY BIRD - LPI Coach Training (I need a Facilitator Kit) - $2,095

Two-Day Workshop - Full Price - $2,595

Facilitator Training - Full Price - $2,595

LPI Coach Training (I possess a Facilitator Kit purchased after May 2017) - Full Price - $1,595

LPI Coach Training (I need a Facilitator Kit) - Full Price - $2,195

Obligatori

Government, Nonprofit, Education

Yes, I work for a Government, Nonprofit or Educational Organization

METHOD OF PAYMENT

Please choose ONE of the following options and provide the necessary information.

Invoice Me or My Organization

Please provide the Name, Address and Email Address of the Organization/Contact to be Invoiced - will be paid by Check or EFT

Send a Request for Payment by Credit Card via Paypal

Please provide the Name and Email Address of the person making payment NOTE: a 3.5% processing fee will be added to the total workshop amount when paying by credit card

I Will Personally Mail a Check

Please make check payable to Tom Pearce and mail to iLead Consulting & Training, 204 Troon Road, McKinney TX 75072

Yes

iLead Consulting & Training takes photos during our workshops that may be used for promotional purposes.

I give permission for my image to be used for promotional purposes.

I do not give permission for my image to be used for promotional purposes.

Següent

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