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What A Leader Judge Registration Form
Fill out the form carefully for registration
Your Name
First Name
Middle Name
Last Name
E-mail
example@example.com
Mobile Number
Format: (000) 000-0000.
Company
Job Title
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
I would like to participate as a judge for the following round(s):
Round 1: The Social Mixer, Monday, November 10, 2025 9:00 AM - 12:00 PM, Location: Jacksonville City Hall
Round 2: Center Stage, Friday, January 23, 2026, 9:00 AM - 1:00 PM, Location: Jessie Ball DuPont Center
Round 1 and Round 2
Submit
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