Woman Lead Registration

Young Women's Leadership Conference

We are so excited to work with you! This is the registration page for the Women's Leadership Conference happening in Brighton, MI on Saturday, November 18. This is an all day event, and participants must plan to be in attendance for the entire program that will start at 9:00am and run until 9:00pm.

Only 56 seats are available for this program.

All questions should be forwarded to Speaking@TakeBackCollege.com

Immediately following this registration form, you will be forward to a payment page. Your seat is not held until a deposit is made. The $40.oo cost will help cover the cost of meals and supplies.

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

School *

T-Shirt Size *

Please list any meal/food restrictions. *

Email *

What do you hope to gain from this program? *

Emergency Contact Name *

Emergency Contact Phone Number *

I AM IN!

Young Women's Leadership Conference

Call: 920-915-9045