40+ DDC Leadership Training Program - Registration Form (2024)

40+ DDC Leadership Training Registration Form

August 28-30, 2024
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Phone Number*
Email*

Confirmation Emailexample@example.com
Sub Club City Fill in the blank*
Sub Club State
If subclub state or location not listed in drop-down menu above, please enter it here:
Country
If outside of USA
Your role with 40+ Double Dutch Club (check all that apply):*

CaptainCo-CaptainDelegateBrand AmbassadorBoard MemberOperations Team
Please select your preferred t-shirt size?*
Do you desire vegan meals?*

YESNO

LEADERSHIP TRAINING COST $300pp

(inclusive of all planned group activities which includes but not limited to, welcome reception, two morning breakfasts, one lunch, leadership training material, and swag)

October 9, 2023	$100 non-refundable
November 9, 2023	$50
January 9, 2024	$50
February 9, 2024	$50
March 9, 2024	$50

Signature

Clear
> BE SURE TO RETURN TO WEBPAGE TO MAKE PAYMENT
** IT IS IMPORTANT THAT ALL LEADERS PLAN TO STAY AT HOST HOTEL. AFTER COMPLETING THIS FORM, PLEASE RETURN TO LEADERS WEBPAGE TO RESERVE YOUR ROOM TODAY **
Should be Empty:

40+ DDC Leadership Training Registration Form

> BE SURE TO RETURN TO WEBPAGE TO MAKE PAYMENT

** IT IS IMPORTANT THAT ALL LEADERS PLAN TO STAY AT HOST HOTEL. AFTER COMPLETING THIS FORM, PLEASE RETURN TO LEADERS WEBPAGE TO RESERVE YOUR ROOM TODAY **

IT IS IMPORTANT THAT ALL LEADERS PLAN TO STAY AT HOST HOTEL. AFTER COMPLETING THIS FORM, PLEASE RETURN TO LEADERS WEBPAGE TO RESERVE YOUR ROOM TODAY