Leaders in Action Subscription

Student Name*

First NameLast Name

2025-2026 Grade Level*

School Name*

School District*

For private or charter schools, type Private or Charter

Principal's email address (for end-of-year press release)

Email address for monthly lessons*

Confirmation Email

Parent/Guardian #1 Name*

First NameLast Name

Relationship to Student*

Parent/Guardian #1 Phone Number*

Parent/Guardian #2 Name

First NameLast Name

Relationship to Student

Parent/Guardian #2 Phone Number

Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code

T-Shirt Size*

Select "N/A" if not ordering a shirt.

After clicking "Submit", you will be redirected to PayPal to complete your subscription. You do not have to have a PayPal account. Click "Pay with Debit or Credit Card" below the Log In button and un-check the box next to "Create my PayPal account" at the bottom of the form to proceed without a PayPal account.

Checkout*

Leaders in Action Program - Monthly Subscription($12.00 for each month)

Monthly leadership lessons delivered via email.

Leaders in Action Program - Monthly Subscription with T-Shirt($27.00 for the first payment then,$12.00 for each month)

Monthly leadership lessons delivered via email with a program t-shirt.

Leaders in Action Program - Annual Subscription ($132.00 for each year)

12 monthly leadership lessons delivered via email. One month free when when you pay annually!

Leaders in Action Program - Annual Subscription with T-Shirt($147.00 for the first payment then,$132.00 for each year)

12 monthly leadership lessons delivered via email with a program t-shirt. One month free when you pay annually!

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