Registration Form: THE LEADERSHIP CIRCLE PROFILE CERTIFICATION
Presented under license by Center for Leader Intelligence (Reg. 2004/050731/23; VAT 443
022 4917) South Africa - info@theleadershipcircle.co.za
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Welcome to the Leadership Circle 06 - 10 June 2022 Profile Certification.
Our certification workshop is a 5-day online interactive workshop, from 9am to 12pm daily.

In order to meet certification requirements, you will be expected to attend all 5 days and
demonstrate an ability to create a safe space through your presence for debriefing the LCP 360
to a satisfactory level of competence.  You will also be required to complete a Post Workshop
Exercise.

Pricing and Payment Dates
Fees must be paid in full a week before commencement of the workshop. (before 30/05/2022)

Pricing for South African enrollment:
Early Bird - R20 000 (excl. VAT) payment received before 02/05/2022.
Normal Rate - R25 000 (excl. VAT) payment received after 02/05/2022.

International pricing:
We will get in touch with all non South African enrollments after submission of this registration form
Do you reside in South Africa *
Participant's Full Name *
Participant's Email Address *
Participant's Contact Number *
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