Leadership Academy Membership Form

Register for Membership: 2025–2026

Comprehensive membership dues are $475 for the 2025-2026 year. This membership includes attendance for multiple people. If you are registering more than eight people, please contact Mykia Brown for assistance (mybrown@monmouth.edu).

Select Your Membership Level

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Membership Selection(Required)
Please select your membership level

Registrant Information

Please provide accurate contact information for the person completing this membership form. If applicable, the registrant will receive an invoice via email and will be the main contact for any billing inquiries (unless you specify otherwise).
Name(Required)
Is the registrant the best person to contact for any invoices, inquiries, or updates?(Required)

School Information

Address(Required)

Attendee Information

Please enter a number from 1 to 8.

Payment Information

Is Your Purchase Number Available?(Required)
This field is for validation purposes and should be left unchanged.