Register Emerging Leaders - Fire Inside Leadership

We are now taking registrations for the September 2022 Program

Name*
First Last
Pronouns
Organization*
Position*
Work Address (for invoicing purposes)*
Street Address Address Line 2 City Province Postal Code
Work Phone
Mobile Phone*
Email*
Food allergies we should be aware of:
Do we have your permission to share your name and contact information with your Emerging Leaders group?*
- Yes
- No
Do you want to receive periodic updates from Fire Inside Leadership?*
- Yes
- No
The program fee is $3000 plus HST. A non refundable deposit of $500 plus HST is required at registration to reserve your space and the balance will be sent the month in which the program begins.