LDI Registration Form - 2023/2024 Thank you for your interest in the LDI retreat. We look forward to sharing this unique leadership journey with you. Following your registration, we will be in contact about the next steps to help you prepare for this experience. Question Title * 1. Which LDI are you registering for? November 6 - 10, 2023 March 18-22, 2024 Question Title * 2. Select an LDI package Early Bird $8,240 +gst (To receive the Early Bird discount payment must be received by the date listed on the homepage of our website) Standard $8,490 +gst Other - by prior arrangement with LDINZ only Question Title * 3. Your details Full name Email address Phone number Company Position/Job Title Physical address (company/business) Question Title * 4. Do you have any special food requirements (eg. vegetarian, gluten free, any food allergies)? Question Title * 5. Do you have any medical conditions we should know about? Question Title * 6. Emergency Contact Person Full Name Relationship to you Mobile number Other contact number Question Title * 7. Is there anything else you would like us to know? Please visit this link to read the LDINZ Terms and Conditions - https://www.ldinz.co.nz/terms-and-conditions Question Title * 8. I have read and accept the Terms and Conditions Accept Done