Leahy Associates, Inc.
Leahy & Associates


WORKSHOP REGISTRATION FORM

Instructions:

  • If you are paying by check, money order or purchase order please click here.
  • If you are paying with a Mastercard or Visa please complete the form below.
  • Please complete a registration form for each participant.
  • Please provide all required information; items marked with an (*) asterisk are required.
  • You will receive a receipt and workshop logistics information via email.

* Participant First Name:
* Participant Last Name:
* Organization:
   Position:
* Participant Email:
* Participant Home Address:
* Participant Phone:
* Participant is under 21?: Yes    No
* Organization Website/Email:
* Organization Mailing Address:
   Organization Billing Address (if different):
* Organization Phone:
   Organization FAX:
   Send Future Correspondence to: Home    Organization

Workshop Early Bird:
(with 30-day advanced purchase)		 Workshop Fees
Challenge Course Facilitator Training $425 $495
Critical Skills for Safety $425 $495
Innovative Team $425 $475
Elements of Choice $275 $325
The Challenge Course Manager $625 $695
Zip Line Training   $125
Climb with Purpose – 8 Hours   $125
Climb with Purpose – 16 Hours   $250
Certification Test Alumni: $125 First Time: $175
* Date(s) of selected workshop(s):
How did you hear about this workshop?
Applicable Discounts / Comments:


Refunds and Workshop Cancellation Policies

Refunds:

To qualify for a refund, YOU MUST CALL BEFORE the workshop. You then have 30 days to submit your written request.

Workshop fee less a $50.00 processing fee is refundable up to 30 days before the start of the workshop. Refunds after that date are issued less a $100.00 processing fee.

Cancellation:

If a workshop is cancelled by Leahy & Associates, workshop fees will be refunded or can be applied to another workshop.

 
Leahy & Associates, Inc. • 7013 Roaring Fork Trail • Boulder, Colorado 80301 USA
phone: 303-673-9832 • fax: 303-604-1901      © 2011 Leahy & Associates, Inc.
Photo credits: Michael Peterson, Jeff Chow, Rick Thompson, Paul Cummings, and Tom Leahy.
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