Leadership – Contact Register at Leadership Lab Let us know if you have any questions. "*" indicates required fields HiddenCohort Type Name* First Last Email* Mobile*Organization* Home Address* Street Address City State / Province / Region ZIP / Postal Code Birthday* Month Day Year User ImageWe are currently building a Member Directory. If you’d like to, please upload a photo of yourself.Accepted file types: jpg, jpeg, png, Max. file size: 1 MB.Favorite Beverage Favorite Snack Any Food Allergies? Name of Significant Other Kids' Names & Ages HiddenUntitled If someone else handles your scheduling and/or communications, please add their name and email:Assistant - Name Assistant - Email HiddenType Cohort #*Cohort 001/2, Wed AM 8 am-12 noonCohort 003, Wed PM 1–5 pmCohort 005, Thurs AM 8 am-12 noonCohort 006, Thurs PM 1–5 pmHiddenCohort - Hidden for Now* Executive Leaders Entertainment Executive Leaders Emerging Leaders Payment Option* Pay in Full via Check - $12,500 Contact me to discuss another option Payment Option* Pay in Full via Check - $6,250 Contact me to discuss another option Cohort Total Price: Cohort Total Price: Registration Fee Price: Pay Monthly Price: Pay Monthly Price: Discount Price: Discount Price: Pay Monthly - DepositDeposit is due upon registration. Monthly payments are due on the 15th prior to each month. Price: HiddenCoupon - Hidden Coupon Total Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Security Code Cardholder Name Deposit | Refund | Cancellation Policy* I accept the Deposit | Refund | Cancellation Policy. TLL fees and tuitions are non-refundable and non-transferable. However, if given reasonable time to try and fill a spot, we can transfer a deposit to another event, within a year, based upon availability. We do not provide credit for absences, no-shows, withdrawals, or program dissatisfaction. In the rare event that we must cancel an offering, we will offer an appropriate refund.Limitations and Occasions to Refer Policy* I accept the Limitations and Occasions to Refer Policy. TLL strives to offer clients the highest standards of professional support and care. To do so, TLL combines some of the most effective techniques and practices of consulting, coaching, and counseling; however, TLL does not claim to deliver professional psychological, psychotherapeutic, or mental health services. While some of our coaches and trainers are pre-licensed or licensed mental health therapists, they are not practicing as such as part of TLL. When issues such as active addiction, historic trauma, and mental health disorders emerge, TLL will offer to refer the Client to additional help.Member Directory Please exclude me from the member directory Our member directory is accessible only by members of TLL Cohorts. Your name and picture are listed, but no contact info. There will be a form that members can use to send you an email, but none of your contact info is shared with them. You may choose to respond or ignore contact requests. Check box if you would prefer to not be listed in the directory.Signature*Please initial here to serve as your signature.
