Nourishing the Soul of the Teacher: A Paradigm Shift in Education

A Conference Calling Forth Imagination, Creativity, Spritual Life, Leadership and Action

CONFERENCE REGISTRATION FORM

Please print and return by mail with deposit or payment to: Essential Leadership Conference
Lori Wynters, PhD, Convenor
Essential Leadership Conference
1465 State Road 213 East
High Falls, New York 12440

Date: June 2-4, 2006
Place: Springbank Retreat Center, Kingstree, South Carolina, USA

• Participant Information

Name:_____________________________________________________________________________________

School, Organization Affiliation:__________________________________________________________________

Address:_____________________________________________________________________________________

City:___________________________________________________ State:________________________________

Country:______________________________________________________________________________________

Telephone:____________________________________________________________________________________

Fax:___________________________________________Email:__________________________________________

Areas of Interest:_______________________________________________________________________________

How were you introduced to the Conference?________________________________________________________

______________________________________________________________________________________________

Conference Fee includes all conference sessions, seven delicious meals, registration materials and opening reception.
Before April 15, 2006 Fee: $320.
After April 15, 2006 Fee: $360.

* There are still several Work Exchange Positions available. Please email or call for Work Exchange Position for reduced Conference Fee. We would like to make this conference accessible to all who are interested and inspired by this work.

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• If you have any special dietary needs or restrictions please let us know when you return your registration form.
• Cancellation Policy
• 30 days prior to start-full refund less 20%
• 20 days prior to start date-half refund less 20%
• less than 20 days prior to start date-no refunds available

We are delighted that you will be joining us. Conference materials will be sent upon receipt of registration and deposit and/or conference fee.