Emerging Leaders - Level 1 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 AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Work PhoneMobile 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. Δ