Lead Forward October 6-9, 2026 Registration Form

Lead Forward October 6-9, 2026 Registration Form

Complete this form to reserve your spot at the leadership retreat and receive event details.
Lead Forward Agenda Overview
October 6, 2026 – Welcome & Vision Setting
6:00 PM – 8:00 PM | Opening Reception & Program Introduction

Kick off an unforgettable journey with an evening of connection, inspiration, and a preview of the transformational experience ahead.
October 7, 2026 – Foundations of Leadership
Transformational Leadership: Unlock your potential to lead with purpose and vision.

Situational Applications: Navigate diverse challenges with adaptive leadership strategies.
October 8, 2026 – Creating Sustainable Impact Through People
Empowering People: Strengthen leadership by fostering meaningful relationships and collaboration.

Emotional Intelligence: Harness the power of self-awareness and empathy to connect with and inspire others.
October 9, 2026 – Leaders & Legacy
Implementation & Commitment: Solidify your leadership approach and create lasting impact.

12:00 PM | Program Conclusion & Departure
Participant Information
First Name
Last Name
Preferred Name
Gender
Shirt Size
Email Address
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Mobile Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Company Name
Job Title
Company Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Emergency Contact
Emergency Contact First Name
Emergency Contact Last Name
Relationship
Primary Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Alternate Phone Number
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Email Address
example@example.com
Health & Dietary Information
Please provide only information necessary for emergency planning and dietary accommodations.
Allergies or Medical Considerations
Dietary Restrictions or Preferences
Accessibility or Accommodation Needs
Additional Information We Should Know
Leadership Background
Have you previously attended a leadership retreat, conference, or development program?
If yes, which programs have you attended?
Current Leadership Role
Number of Years in Leadership
What leadership challenges are you currently facing, and what do you hope to gain from participating in Lead Forward?
What leadership topic, skill, or area of personal growth are you most interested in exploring during the retreat?
Consent & Acknowledgment
Electronic Signature
Date Signed

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
I agree to the Participant Agreement
Cost: $6,800
How would you like to pay?
ACH Instructions

Please send your ACH payment using the details below:

Bank Name: First Citizens Bank

Account Name: Radical Guidance Consulting, Inc

Routing Number: 053100300

Account Number: 621695415

*Include your full name and "Lead Forward 2026" in the memo.
Credit Card Payment

To pay securely by credit card through First Citizens Bank, click the link below:

Submit Payment via First Citizens Bank

Please note: A 2% credit card fee applies. Your registration is confirmed once payment is submitted.
Check Payment Instructions

Mail your check to:

Radical Guidance Consulting

P.O. Box #861, Arden, NC, 28704

Make checks payable to: Radical Guidance Consulting

*Include your full name and “Lead Forward 2026” in the memo.
Should be Empty:

Lead Forward October 6-9, 2026 Registration Form

Lead Forward Agenda Overview

October 6, 2026 – Welcome & Vision Setting

October 7, 2026 – Foundations of Leadership

October 8, 2026 – Creating Sustainable Impact Through People

October 9, 2026 – Leaders & Legacy

Participant Information

Emergency Contact

Health & Dietary Information

Leadership Background

Consent & Acknowledgment