* Email address:
*Affiliation (ie Clark Student, Consortium Student, High School Student Non-student):
*Do you plan to attend the break out sessions? (Y/N)
*Do you plan to attend the key note address? (Y/N)
*How did you hear about this conference?
*If you are paying for this conference with a club budget, please indicate which club:
1. Cost: $5 for Clark Students and High School Students. $7 Non-Clark College Students. Please bring cash or check made out to Clark University (Memo: G&P Leadership Conference).
2. Attire is business casual.