Authentic Leadership Center - Leading from the Center Registration

Registration Form

Leading from the Center

Name

Mailing Address

City

State

Zip

Home Phone

Cell Phone

Work Phone

E-mail Address

Which session are you registering for?
Summer 2008 (July 25-27 & Aug 13-17)
Fall 2008 (Oct 17-19 & Nov 5-9)
Winter 2009 (Jan 16-18 & Feb 4-8)
Spring 2009 (Apr 3-5 & Apr 22-26)

How will you be paying?
Check (mail or drop off ASAP)
Credit Card

Amount being sent or approved
$400 Deposit
$2495 Full Tuition
Other Amount

If payment is by credit card:
Name on Card:
Card Type: Visa MC AmEx
Card Number:
Exp Date:

Tuition and Deposit: Total cost for the Leading from the Center training is $2495. A $400 non-refundable deposit is required to secure your enrollment. Full payment must be received prior to the start of Leading from the Center unless other arrangements have been made with the management team. A sliding scale and family discounts for multiple registrations are available. Coaches, counselors, and therapists, please inquire about our professional discounts.
Cancellation: A refund of tuition paid minus the non-refundable deposit will be made if cancellation occurs up to two weeks before the start of the training. If cancellation is necessary less than two weeks prior to the training, no refund is available. Any fees and deposits forfeited as a result of cancellation can be applied to future trainings. MasterCard/Visa transactions will be credited to the original credit card.
Satisfaction guaranteed: If, after completion, you are not satisfied with your Leading from the Center training, the Authentic Leadership Center will refund your tuition fees minus the non-refundable deposit if you request the refund within 30 days after completing your 8-day training.

Additional information you'd like us to know :

Registration Information

Please fill out the form to reserve your space for the Leading from the Center training of your choice. If you want more information about the training, click here.

Note that the form is emailed directly to ALC and we handle each registration personally.

If you prefer, you can download a Word version of this form and fax, mail, or email it to us. Right click here to download this version.

In all cases, your registration is not official until we receive a deposit.

Contact any one of the management team if you have any questions or concerns:

Chris Mathe
(916) 709-1170
Email

Maril Cardwell
(916) 838-1321
Email

Debbie Oudiz
(916) 804-6647
Email

Gayle Mathe
(916) 709-9233
Email

Phil Stahr
(916) 812-3726
Email

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