ECW, August 20-23, 2024, Stowe, VT

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Please fill out the following registration form. You will receive an Application Confirmation Email from ecw@presencing.org

Email *

First Name *

Last Name *

(First) Name you wish to be displayed on name tag *

Title/Position name *

Organization *

Address 1

Address 2

City, State, Zip *

Country *

Cell Phone number *

Emergency Contact information (Name and Phone number) *

Assistant Contact information (Name and email address)

How did you learn about the program? *

Center for Systems Awareness

Society for Organizational Learning (SoL)

Presencing Institute/ u-school for Transformation

Past Participant/Colleague

Other

Required

Please give a brief description of the type of organization you work for and type of work that you do. (1-2 paragraph(s)) *

How would this workshop be of value to you in your work and in your life? What do you hope this program will help you accomplish? (1-2 paragraph(s)) *

Tuition

All rates in USD

Corporate/ Professional: $4864 (Tuition $4200 + Meal Package $664)

Nonprofit, Academic or Gov. Institution: $4064 (Tuition $3400 + Meal Package $664)

Public School Educators: $3264 (Tuition $2600 + Meal Package $664)

Group Rate: 10% off of regular rate, minimum 3 participants

Scholarship: $2164 (Tuition $1500 + Meal Package $664)

Required

We offer a limited number of scholarships. If you're interested in applying for a scholarship, please share with us why you feel you should be considered for this opportunity. We welcome your application and aim to create an inclusive experience for all.

Start & End Times *

Our session will begin on Tuesday, August 20th with registration at 3pm and conclude on Friday, August 23 around 2 pm (optional box lunch is scheduled from 2-3 pm).

Yes, I will attend the entire program.

No, I have a concern about a full participation. (Please email ecw@presencing.org)

Required

Overnight accommodations *

If you are staying at the Trapp Family Lodge, please make your room reservations. The special room rate for the participants is $953.70 (depending on the type of a room). This rate includes 3-nights lodging. As this is the main tourist season, it is very likely that the rooms at the Lodge will sell out quickly. Please call the Trapp Family Lodge as soon as possible at 1-800-826-7000 ext. 1 (toll free), at +1-802-253-8511, or email reservations@trappfamily.com. Be sure to reference the "Executive Champions' Workshop" when making your room reservation to get the special ECW rate. The cutoff date for the room block at this special rate is Friday, July 19, 2024. The check-in time at the Lodge is 4:00pm and check out time is 11:00am. You may arrange for the concierge to hold your luggage after checking out the last morning of the program. If you are not staying at the Trapp Family Lodge, please let us know by emailing ecw@presencing.org.

I'll be commuting.

I'll stay at the Trapp Family Lodge and I understand that I am responsible for booking a hotel room by my own.

Required

Cancellations and Substitutions Policy *

All cancellations must be received in writing. The amount paid minus a $300.00 processing fee will be refunded for all cancellations received in writing 6 weeks before the first day of the workshop. For international credit card users: Currency fluctuations occur. Refunds, if requested, will be made in USD at the exchange rate in effect at the time the refund is processed. Presencing Institute and The Center for Systems Awareness will not be responsible for any loss incurred by card holder. NO refunds will be granted for cancellations received on or after this date. You may arrange for a substitute participant at least 2 weeks before the program. Should Presencing Institute need to cancel the program, participants will receive a refund of their tuition, but no reimbursement for booked flights or other travel or program-related expenses.

I have read and agree with the policy.

Required

Do you have any dietary restrictions? (If none, please indicate "None") *

Photo Release Permission *

I hereby grant permission to Presencing Institute and The Center for Systems Awareness to use photographs and/or video of me taken during the Workshop in publications, news releases, online, and in other communications related to the mission of the The Center for Systems Awareness.

I have read and agree with the policy.

Required

Data Privacy *

Notice: By registering for this program, you consent to the collection and use of your personal information in accordance with our privacy policy. Please be aware that your information stated in this form will be shared with our partner entities “u-school for Transformation by Presencing Institute”, for the purpose of program or event planning and follow-up communications. Your data won’t be shared for any other purposes or with any other entity besides the ones indicated. If you have any questions or concerns about the collection and use of your personal information, please contact us through the email ecw@presencing.org.

I have read and agree with the policy.

Required

Please let us know if you have any questions or comments?

A copy of your responses will be emailed to the address you provided.

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