Leadership Academy Membership Form

Register for Membership: 2024–2025

Comprehensive membership dues are $400 for the 2024-2025 year. This membership includes attendance for up to three people at each of the four sessions that will be held during the school year.

Select Your Membership Level

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Membership Selection(Required)
Please select your membership level
Will you attend the a.m. or p.m. sessions?

Registrant Information

Please provide accurate contact information for the person completing this membership form. The registrant will receive an invoice via email and will be the main contact for any billing inquiries.
Name(Required)

School Information

Address(Required)

Attendee Information

Attendee #1

Is Attendee #1 the Same Person as the Registrant?(Required)
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Is the attendee the best person to contact for any inquiries or updates?(Required)

Attendee #2

Attendee Name
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Is the attendee the best person to contact for any inquiries or updates?

Attendee #3

Attendee Name
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Is the attendee the best person to contact for any inquiries or updates?

Payment Information

Is Your Purchase Number Available?(Required)
This field is for validation purposes and should be left unchanged.