2019 Missouri Leadership Seminar Ambassador Registration Form
The Registration Form must be completed in its entirety prior to submitting. You will not be able to save your information and come back to the form. Please review the required information and ensure that you have the necessary information prior to beginning the form.

The Registration Form must be electronically signed by both the student and a parent/guardian.

In order to complete your Registration, you must submit a copy of the FRONT and BACK of your health insurance card. Please include the student’s full name. You may email it to missourileadership@gmail.com (PREFERRED method) or mail it to:

Missouri Leadership Seminar, Inc.
P.O. Box 53
Ozark, MO 65721

You will receive a confirmation email when your registration is complete and has been reviewed by our staff. We will also contact you if we are missing any of your information.

If you have any questions or problems, please contact Alyssa Niemeyer, Director of Recruitment, by email at missourileadership@gmail.com. You may also leave a voicemail at 573.213.9114. Emails and phone messages will be logged and returned within 24 to 48 hours, depending on volume.

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