2018 Inspiration Event Registration Form
Please complete the following information so that we can best serve you on our upcoming journey or fieldtrip together. Detailed itinerary information, including locations, times, and complete agenda, will be sent to your email address prior to the event. Thank you!
For which event are you registering? *
Please confirm the dates and type of journey for which you have registered.
First Name *
Your answer
Last Name *
Your answer
Company Name *
Your answer
Job Title *
Your answer
Preferred email address *
Your answer
Preferred phone number *
Your answer
What are your organization's top three future-focused people challenges? (*not required for Fieldtrips or Workshops)
Please list up to three, with #1 being highest priority.
Your answer
Pre-Journey Checklist (*not required for Fieldtrips or Workshops)
If you have not yet submitted your photo, bio, agreement, or invoice, please send to kimberly@futureleadernow.com ~ thanks!
Emergency Contact Information *
Include Full Name, Relationship to you, & Phone number
Your answer
Do you have special dietary needs or preferences?
(Please include any food allergies in "other.")
Other questions, comments, or requests? Please include below.
Your answer
Thank you for submitting your information!
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This form was created inside of Half Sky Journeys.