2023 Focus 419 Registration

Focus 419

August 2nd & 3rd: 8:30 a.m. to 5:00 p.m.
August 4th: 9:00 a.m.-1:00 p.m.
Name*

First NameLast Name
Preferred First Name:
Company/Organization:
Job Title:
Preferred Phone: *
Please enter a valid phone number.
Preferred Email:*
example@example.com
Birth date:*

MonthDayYear
Date
Home Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Zip Code:
Ethnic/Racial Background (Optional):
Gender (Optional):
Preferred Pronouns (Optional):
Dietary Restrictions:
Special Accommodations Needed:
Photo for Class Directory:

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Commitment:
Tuition is $650 payable no later than August 1, 2023, and includes all materials and lunches. Limited funds are available for partial scholarships. Access scholarship application here. Requests for tuition assistance will be considered on the basis of demonstrated need and class composition. Payment plans are also available. Please contact Arika Michaelis at arika@leadershiptoledo.org for more information.

Participation requirements:
Must be present for entire 2.5 days and present for the entire session (arriving on time, staying until adjoruned)
I agree to the participation and financial commitment listed above.

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Focus 419