2023 GSGP Leadership Summit Registration
Name (Please note that this will be used on your name tag)
*
First Name
Last Name
Job Title
*
Agency, Ministry, Company or Organization
*
State or Province (Please type the full name--no abbreviations)
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Participant Type
*
Please Select
Invited Guest
Sponsor
Media
Speaker
State or Provincial Delegate
For official State and Provincial delegation members only
Please leave the next four fields blank if you are not part of an official State or Provincial delegation.
Is this registrant using one of the five State or Province complimentary rooms at the Renaissance Hotel?
Please Select
Yes
No
If you are using a complimentary room, please list your hotel check in date and the check out date below.
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Month
-
Day
Year
Date
Check out date. Please note that the check out date is no later than Sunday, October 15.
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Month
-
Day
Year
Date
Governors & Premiers: please list family members, spouses or partners accompanying you to Cleveland, Ohio
For Sponsors and guests of sponsors
Sponsorship Level
Please Select
Platinum
Gold
Silver
Contributor
Name of sponsoring company or organization
Do you have a meal restriction, including allergies?
*
Yes
No
If you answered yes to the previous question, please describe your restriction.
Consent to post photos/videos and share presentation materials.
*
I consent to have GSGP post photos/videos of me from the Leadership Summit, and if I am a speaker to post my PPT presentation slides on the GSGP website.
I consent to have GSGP post photos/videos of me from the Leadership Summit, but NOT to post my PPT presentation slides on the GSGP website.
I am unsure of this. Please contact me.
Please verify that you are human
*
Submit
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