Eastman Leadership Conference Registration

Eastman Leadership Conference

Registration

Please fill out the information below to register for the Eastman Leadership Conference. Once we receive your registration, we'll be in touch with next steps, including information about readings, hotels, and meals.

Final Registration: May 1st ($2500)
Your Information
Prefix*
Please select a prefix from the dropdown.
First Name*
Middle Initial*
Last Name*
Suffix
Pronouns
Title*
Department*
Your College/University*
Email *
Please enter a valid email.
Confirm Email*
Please confirm your email.
Phone*
Please enter a valid phone number.
This is a:*

Work PhoneCell PhoneHome PhoneOther
Are you an Eastman alum?*

YesNo
What year(s) did you graduate and with what degree(s)?*
E.G. MM-'92; DMA-'95, etc.
Conference Accommodations
Do you have any dietary restrictions?*

YesNo
Please list your dietary restrictions below. *
We've tried to choose restaurants that accommodate a range of dietary needs. We will do everything we can to accommodate your dietary restrictions.
Do you have any accessibility considerations?*

YesNo
Please list any accessibility considerations below.*
Permission and Advertising
Would you like to have your contact information included in the printed attendee directory?*

YesNo
I give the Eastman School of Music permission to use my photo for future marketing purposes (e.g. brochures, website, news releases, etc.).*

Yes, you can use my photo, name, and schoolYes, you can use my photo and name onlyYes, you can use my photo onlyNo, I do not want my photo used
I give the Eastman School of Music permission to use my testimonial for future marketing purposes (e.g. brochures, website, news releases, etc.).*

Yes, and you can attribute my name and schoolYes, and you can attribute my name onlyYes, but please make me anonymousNo, I do not want to publicly share my testimonial
How did you hear about the Eastman Leadership Conference? Please select all that apply.*

Email blast (from CMS, Musical America, etc.)Direct mailingAt a college fair or trade showSocial Media (Facebook, LinkedIn, etc.)From a colleagueFrom an IML staff memberWeb searchOther
Payment Options
Conference Fee - Payment Options*
Please select a payment option from the dropdown.

School/Institution Information

We will send your registration invoice to this contact.
Billing/Office Contact *

First NameLast Name
Office Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
Please enter a valid email.
Confirm Email*
Please confirm the contact email.
Phone*
Please enter a valid phone number.
Should be Empty:

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Your Information

Conference Accommodations

Permission and Advertising

Payment Options

School/Institution Information