I, the below undersigned, agree to participate in the 2024 sessions of the Greater Missouri Leadership Challenge to be held on the following dates in the following cities:

SESSION 1 – MARCH 11-13 Columbia/Jefferson City
SESSION 2 – JUNE 11-13 Kansas City
SESSION 3 – SEPTEMBER 10-12 Kirksville/N. MO
SESSION 4 – NOVEMBER 13-15 St. Louis

I also understand that I am fully responsible for the $2,900 tuition balance due to allow my full and complete participation in the social and educational activities of the Greater Missouri Leadership Challenge symposium, exclusive of travel, various food and all lodging costs, and any other personal expenses. If hotel arrangements are not secured timely I understand I may not have access to the negotiated group room rate. I sign this agreement in good faith (electronic signatures are binding).

Please sign and submit this form to no later than December 31.

You may also mail a signed form to GMLF, 5231 NE Antioch Road, #342, Kansas City, MO 64119.