Confirm your seat for The Fearless Leader 9-week Group Mentoring Program

Confirm Your Seat

Congratulations, and welcome in.

You've done the reflecting, and now it's time to make it official. This short form secures your place in the upcoming cohort of The Fearless Leader 9-week group mentoring leadership development program.

We ask that you complete every field carefully. The information you share here helps us prepare your enrollment, coordinate payment, and make sure your first week starts smoothly.

This is the moment you stop waiting and start leading. We're honored to walk this next chapter with you.

Your instructors,

Kathy McAfee & Kate Bringardner

Full Name

First NameLast Name

Email Address

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Did anyone refer you? (If so, please tell me their name so I can thank them!)

How would you like to pay for your program?

** If you'd like us to invoice your company, please provide company name and contact details

Please include company name and address, and key contact person's name, email, phone

If you have been given a promo code, please include it here:

Is there anything else we should know as you begin this program?

Get ready to unleash the fearless leader within you!