Place of Employment *

Phone

Do you have any dietary restrictions: *

Yes

What is challenging when working with other people? *

How did you learn about Leadership Garden City? *

Name:

Do you require any specific accommodations?

Wheelchair access

Sign Interpreter

TDD

What do you hope to gain/benefit from Leadership Garden City? *

Applications will be accepted through January 31, 2024. Only 16 applicants will be selected and full payment ($550) must be received prior to February 7, 2024. You will receive a 10% discount for registrations received by January 15, 2024 ($495).

I understand that I must attend each class in order to successfully complete Leadership Garden City. I agree to complete homework assignments and I also understand that a class of no more then 20 people, from a broad diversity of backgrounds, will be put together for the class. *

I agree

I disagree

Community or Civic Event you currently or previous have participated in *

Address *

Name: *

Email: *

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2024 Leadership Garden City Class Registration