4 Core Elements Leadership Workshop-Apr 2017

Workshop Registration
The Four Core Elements of Successful Leadership

Friday, April 21 (7 - 9 pm) and Saturday, April 22 (9 am - 5:00 pm)
Register here for the workshop, which includes lunch and snacks. Housing and other meals must be obtained separately. More information may be found on our website.
Participant Contact Information
Name*

First NameMiddle NameLast Name
E-mail*

Confirmation Email
Phone (primary)*

Area CodePhone Number
Phone (other)

Area CodePhone Number
Home address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Participant Profile

Please tell the workshop leaders a little about yourself...
What is your affiliation with Waldorf Education?*

TeacherParent of Waldorf studentHomeschooling parentBoard memberStaffer or administratorVolunteerWaldorf school alumRelative of Waldorf studentGeneral interestOther
Which school(s) are you affiliated with?*
Suggestions are listed but you can type any school and location
List any relevant coursework you have completed*
Current employer, position & length of employment*
Are you a Sunbridge alumna/alumnus?*

YesNo
Program*
Suggestions are listed but you can type any program name
Graduation year*
How did you hear about this workshop?*

Sunbridge websiteSunbridge emailMy schoolFlier at schoolWord of mouthPrint advertisementAssociation of Waldorf Schools of North America (AWSNA)Waldorf Early Childhood Association of North America (WECAN)Other websiteAttended previouslyOther
Payment Information

Workshop fee*

The Four Core Elements of Successful Leadership workshop (Includes snacks & lunch, and a $25 non-refundable Registration Fee)$225.00

Enter coupon

Total $0.00

Credit Card

First Name on card

Last Name on card

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Payer email*
Disability?

Check here if you have a disability that may require accomodation
Please provide details about the accomodation that will be necessary for your attendance.*
Cancellation policy*

By checking this box, I understand that Sunbridge Institute reserves the right to cancel this conference up to 24 hours before the scheduled start time. I further understand that Sunbridge reserves the right to make faculty substitutions when necessary.
Medical Insurance policy*

Sunbridge’s institutional insurance covers student injuries caused by accidents that occur on campus, but not student illnesses or off campus injuries. Please note that Sunbridge's insurance coverage is secondary to the student's primary insurance. If you do not have health insurance or your health insurance does not cover you in New York, we strongly recommend that you purchase traveler's insurance that will protect you, especially for illness and/or any off campus accidents.
Leave a message, if desired
In all of its dealings, including its admissions, educational, and employment practices, it is the policy of Sunbridge Institute, its Trustees, officers, employees and other duly authorized agents not to discriminate against any individual or group for reasons of race, color, creed, gender, age, culture, ethnicity, national origin, marital status, sexual orientation or identification, or mental or physical handicap.

For any technical difficulties using this online form, please contact registrar@sunbridge.edu. Most difficulties can be resolved by ensuring all fields are completed (esp country field), checking validity of credit card, and lastly, trying a different device and/or browser.

For more details about this workshop or planning your stay, please contact the Admissions Office at 845-425-0055 X20 or by email at info@sunbridge.edu.
Should be Empty:

Workshop Registration

The Four Core Elements of Successful Leadership

Participant Contact Information

Participant Profile

Payment Information