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2024 Learning Lab Registration
Name
(Required)
First
Last
Email
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Phone
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Location
Please add your location: State, City, Aboriginal Country
Your work
Company Name
Your Role
Your LinkedIn URL
Event requirements
Dietary Requirements
Do you have access or other special requirements?
Please let us know how we can best accomodate you.
Have you previously participated in one of our programs?
(Required)
Have you previously participated in one of our programs?
Yes
No
What is your main reason for registering for this year’s Learning Lab?
Please add a brief statement about your experience using the adaptive leadership framework in your work.
Sponsorship
There are limited scholarships available for the one-day introductory program. If you are seeking a scholarship please tell us a bit more about your background and work, indicating why we should provide you with a scholarship
Would you like to apply for a scholarship?
(Required)
Yes
No, I can invest in the Learning Lab
Sponsorship rationale
Please tell us a bit more about your background and work, indicating why we should provide you with a scholarship:
Your program selection and payment
Confirm Stream by clicking the option below (prices include GST)
(Required)
Stream A Introduction: 14 March 2024
Payment Method
PayPal Checkout
MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number
Expiration Date
Security Code
Cardholder Name
Phone
This field is for validation purposes and should be left unchanged.
