2026 Leadership Summit Registration Form 🎉✨

Leadership Summit Registration Form 🎉✨

Register now to participate in the multiday leadership summit. Please have your details ready.
Full Name

First NameLast Name
Attendees under the age of 18 must be accompanied by an adult.
Birth Year
Organization Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Participation Type
Payment is calculated from the number of attendees over age 15 using the Birth Year field in each attendee section.
Additional Registrant Details
Additional Registrar
Additional Registrants

Add each extra attendee here.
Additional Registrants
Additional Registrant 1 Name

First NameLast Name
Additional Registrant 1 Birth Year
Enter a 4-digit birth year
Additional Registrant 2 Name

First NameLast Name
Additional Registrant 2 Birth Year
Enter a 4-digit birth year
Additional Registrant 3 Name

First NameLast Name
Additional Registrant 3 Birth Year
Enter a 4-digit birth year
Additional Registrant 4 Name

First NameLast Name
Additional Registrant 4 Birth Year
Enter a 4-digit birth year
Additional Registrant 5 Name

First NameLast Name
Additional Registrant 5 Birth Year
Enter a 4-digit birth year
Additional Registrant 6 Name

First NameLast Name
Additional Registrant 6 Birth Year
Enter a 4-digit birth year
Additional Registrant 7 Name

First NameLast Name
Additional Registrant 7 Birth Year
Enter a 4-digit birth year
Additional Registrant 8 Name

First NameLast Name
Additional Registrant 8 Birth Year
Enter a 4-digit birth year
Additional Registrant 9 Name

First NameLast Name
Additional Registrant 9 Birth Year
Enter a 4-digit birth year
Additional Registrant 10 Name

First NameLast Name
Additional Registrant 10 Birth Year
Enter a 4-digit birth year
Attendee
Select days
Select day(s)
Special accomodations
Allergy / dietary restrictions
Checkout & Payment

Review the total and complete payment below.
Promo Code

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Tickets

This is proof of purchase for the 2026 Multi-generational Leadership Summit with The Church- God's Assembly *only add registrants over age 15 to quantity box

$75.00 Quantity

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Total

Payment Methods

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Leadership Summit Registration Form 🎉✨

Additional Registrants

Select days

Checkout & Payment

My Products

Payment Methods