Pastor's Roundtable Survey

Join us for a life-changing roundtable with Dr. John C. Maxwell and Pastor Scott Wilson this April 2-3rd. We will have world-class Golf, a private dinner with John and Margaret Maxwell, and a day full of learning and growing with John C. Maxwell. You do not want to miss this incredible event.

Fill out the registration form below and make your contribution of $5,000 on the next page to secure your spot.

Location: The PGA National Resort in Palm Beach, FL.

Tuesday, April 2nd

Morning : Golf on the PGA National Course, Palm Beach Gardens, FL
Evening: Dinner with John & Margaret Maxwell

Wednesday, April 3rd

8:30am : Breakfast
9:00am-3:00pm : Roundtable with John Maxwell & Scott Wilson
3:00pm-6:00pm : Break
6:00pm : Dinner with John Maxwell & Scott Wilson

1.Name(Required.)

2.Spouse's Name(Required.)

3.Church's Name(Required.)

4.Church Number(Required.)

5.Mobile Number(Required.)

6.Best Email(Required.)

7.Mailing address(Required.)

8.Executive Assistant Name(Required.)

9.Executive Assistant Number(Required.)

10.Executive Assistant Email(Required.)

11.Will you need additional nights added to your stay outside of our standard two night booking?(Required.)

Yes

12.Will you be golfing?(Required.)

Yes

13.Will your spouse be golfing?(Required.)

Yes

14.If you are golfing and/or your spouse is golfing please provide your handicap below?(Required.)

15.Do you have any food allergies and/or restrictions?(Required.)

16.Does your spouse have any food allergies and/or restrictions?(Required.)

17.Upload a Hi-Res Headshot(Required.)

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18.Upload a Brief Bio(Required.)

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19.What is your favorite John Maxwell Book?(Required.)

20.What is one interesting fact about you that you would like John to know?(Required.)