Workshop Registration Form

Workshop Registration Form
Name*

First NameLast Name
Personal Email Address*
Please use your personal email to register, as you'll need it for lifetime access to the DiSC tool.
Phone Number*

Country CodeArea CodePhone Number
How did you hear about us? *
By providing your number, you agree to receive texts, WhatsApp messages, or calls from First Class Leaders about events, updates, and promotions. Message and data rates may apply. You can opt out anytime by replying STOP or sending us an email to admin@firstclassleaders.com*

I Agree

About You

Please fill out so that we get a better understanding of your experience and background
Name of Company or Flight School*
# of Flight Hours (Rough Guess)*
This training is currently for pilots only.
Current Position & Aircraft*

Payment Section

*Payments are securely processed via Stripe.com
Billing Address*

Street Address

Street Address Line 2

CityProvince/State

Postal/Zip CodeCountry
Please Select Province for Tax Calculations*

My Products*

Take The Lead JourneyThe Take the Lead Journey is a leadership development experience. It replaces a single one day workshop with a structured path for real change.

$699.00CAD

Enter coupon

Subtotal

$0.00CAD

Tax

$0.00CAD

Total

$0.00CAD

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

I confirm that I have read the "Terms and Conditions" and all information I entered in this form is accurate and true.*

I Confirm
Terms and Conditions
Important Note

Following registration you will receive a confirmation email regarding your enrollment as well as next steps. Should you need more information, feel free to contact us at admin@firstclassleaders.com.
Student Signature*

Powered by Jotform SignClear
Should be Empty:

Workshop Registration Form

About You

Payment Section

Important Note