Gainesville Program Registration – Class

Leadership Georgia: Gainesville Program

April 25-27, 2019

Name*
First Last
Date of Arrival*
MM slash DD slash YYYY
Program starts Thursday, April 25, Registration is 1:45 - 3:15
Time of Arrival*

: Hours

Minutes

AM/PM
Thursday Dinner?*
- Yes
- No
Friday Breakfast?*
- Yes
- No
Friday Lunch?*
- Yes
- No
Friday Dinner?*
- Yes
- No
Saturday Breakfast?*
- Yes
- No
Allergies/Dietary Restrictions
Special Disability Requirements
During the weekend there will be the opportunity for Dragon Boat racing. Please confirm you would like to participate in this activity.*
- Yes, I’m ready to participate!
- No, I’m concerned about being on water.
Class Registration
LG Neighborhood Block Party Registration
Price: $50.00
LG Neighborhood Block Party on Saturday, April 27, 2019 ($50 per person)
How many attendees?
Attendee #1
Name
First Last
Attendee #2
Name
First Last
Attendee #3
Name
First Last
Attendee #4
Name
First Last
Attendee #5
Name
First Last
Billing Information
Total
$0.00
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
NOTE CLASS
There is a shortage of rooms for Saturday, April 27, 2019 so plan to book hotel reservations early. Room block has been reserved at the following property:
Chateau Elan 100 Rue Charlemagne Braselton, GA 30517 $229/night excluding taxes/fees. *Please be mindful of Chateau Elan’s cancellation policy. Call 678-425-0900 or 800-233-9463, mention Leadership Georgia block.

Leadership Georgia

3372 Peachtree Rd. NE, Suite 115

Atlanta, GA 30326

Phone: 404.223.2294

Gainesville Program Registration – Class

Leadership Georgia: Gainesville Program

April 25-27, 2019

Program starts Thursday, April 25, Registration is 1:45 - 3:15

Class Registration

Attendee #1

Attendee #2

Attendee #3

Attendee #4

Attendee #5

Billing Information

NOTE CLASS

There is a shortage of rooms for Saturday, April 27, 2019 so plan to book hotel reservations early. Room block has been reserved at the following property:

Chateau Elan 100 Rue Charlemagne Braselton, GA 30517 $229/night excluding taxes/fees. *Please be mindful of Chateau Elan’s cancellation policy. Call 678-425-0900 or 800-233-9463, mention Leadership Georgia block.