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Leadership Workshop Registration Form 2020

Registrant Info

Welcome to the CT3 Leadership Workshop registration page! We're so glad that you'll be joining us this summer. To register, please fill out this form completely and submit.

Visit ct3education.com/leadership-workshop for more information.

Questions? Reach out to info@ct3education.com.

1. Please select one: *This question is required.

1) Please select the workshop you wish to sign up for: *This question is required.

1) Please select the workshop you have signed up for: *This question is required.

2) Primary Contact Information (Person registering who will receive the invoice):

Full Name *This question is required.

Title *This question is required.

District/Organization *This question is required.

School or Department (if District) *This question is required.

Email Address *This question is required. This question requires a valid email address.

Phone Number *This question is required.

Address *This question is required.

City *This question is required.

State *This question is required.

Zip *This question is required.

How did you hear about our leadership workshops? *This question is required.

Colleague/Friend
LinkedIn
Facebook
Google Search
CT3 Client
Attended a workshop in the past
Other - please specify: Please enter an 'other' value for this selection.

Are you attending this workshop? (Read all choices before selecting) *This question is required.

Yes, I'm attending with others and including myself in the total registration count. (Note: pricing shown on next page)
Yes, I am signing up for myself ONLY. (Individual: $800)
No, I am just signing up someone else/a group of educators. (Note: pricing shown on next page)

3) How many attendees do you wish to register? *If you are attending, be sure to include yourself in the total count.

Pricing:
Individual: $800
2-5 educators: $750 per person
6+ educators: $700 per person

*This question is required. This question requires a valid number format.