Leadership Health & Formation Cohort 2026 - Registration
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Credential Level
Please Select
In Process
Certified
License
Ordained
Current Ministry Assignment:
Church Name / City / State
What has been your experience or exposure to leadership health and spiritual formation?
(feel free to share books you've read, retreats attended, personal practices, or areas you're currently exploring)
Will you be able to attend all cohort gatherings to the best of your knowledge?
Yes
No
Maybe
Select your registration type:
Early Bird ($350 before December 31)
Standard ($400 after December 31)
I understand a $100 deposit is due at registration and the remaining balance is due by January 1
Yes
Payment Section
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$100 Non-refundable deposit
$
100.00
Quantity
1
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Credit Card
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