Leading With Impact Workshop Registration Form

Leading With Impact Workshop Registration
Each Workshop attendee is required to fill in the form below.

We'll contact you with finer details of the Workshop once payment is received.
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

City/TownState / Province

Postal / Zip Code
E-mail*
Mobile Number*

Phone Number
Organisation*
Name of your organisation
Your position
Job title
Do you have any dietary restrictions?*

NoOther
Are you a Leadership Fiji Alumni?*

NoOther
By submitting this registration you agree with the following:
- Pay the respective registration fee before Friday the 30th May 2025:
  - Public - $350 per person
  - LF - Alumni - $250 per person
- That your place will only be confirmed upon receipt of payment before Friday the 30th May 2025. However, we suggest that payment is made as early as possible to secure your place, as there are limited space available.
- That Leadership Fiji is authorised to take pictures of you and other participants attending for the purpose of promoting the workshop and its activities.
- Please ensure the names provided are accurate, as these will be used for the Certificates.
📅 Date: 11th June 2025
⏰Time: 8:00 AM to 5:00 PM
📍Venue: Holiday Inn, Suva
Should be Empty: