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Register as a Group Leader
1
Name
*
This field is required.
Primary contact for Group Leader account
First Name
Last Name
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2
Secondary Contact
Secondary leader (ie: Parent, group co-leader, etc)
First Name
Last Name
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3
Email
*
This field is required.
example@example.com
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4
Phone Number
*
This field is required.
Area Code
Phone Number
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5
Name of Organization
*
This field is required.
note: Summit Ambassadors use: Prepared Project
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6
Organization Type
*
This field is required.
Church, School, Community Leader, Summit Ambassador, Powered By Summit host
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7
Preferred Discount Code $200
example: ORGANIZATION25, leave blank if you do not need an additional discount code
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