Exit Conversations of Substance Program Registration Form Question Title * 1. Which Program are you registering for? Note that if you are registering for a larger group, please email us directly on team@leadinghumans.com.au or complete the form and tick the 'email me a spreadsheet' item below. Conversations of Substance Level 1 - 4 days - Brisbane - 5th, 6th, 19, 20th March 2024 Conversations of Substance Level 2 - 3 days - Brisbane - 23rd, 24th, 30th April 2024 Conversations of Substance Level 3 - 3 days - Brisbane - 27th, 28th August, 10th September 2024 All three programs - Level 1, 2 and 3 Question Title * 2. First Name Question Title * 3. Last Name Question Title * 4. Email Question Title * 5. Best phone contact Question Title * 6. Company/Organisation/School Question Title * 7. Role or Title Question Title * 8. Please provide details for your invoice Question Title * 9. Department of Education Preferred Supplier Pricing Please go ahead and invoice us at the DoE Preferred Supplier rate Please send us a quote for this registration at the DoE Preferred Supplier rate Other (please specify) Question Title * 10. If you are the person registering, please provide any dietary requirements. Vegan Vegetarian Religious Dietary Restrictions (e.g., Kosher, Halal) Lactose Free Food Allergy (e.g. gluten free, peanut free) I do not follow any of these dietary restrictions Other (please specify) Question Title * 11. Multiple registration options: Complete separate registrations, provide details below (room for 100 characters) or we can send you an enrolment spreadsheet. No, it's just me registering Please send me an enrolment spreadsheet as I have a larger group to register Additional participant details below Name, email, role, phone (if available), dietary requirements Done