Registration Form

National Leadership Conference on Student Government Registration Form

Institution Information

Attendee Information

Please provide accurate name for each attendee so nametags can be created correctly. If names are unknown at this time, please indicate attendee's title/position, in each name box, to assure conference participation.

Attendee 1:

Attendee 2:

Attendee 3:

Attendee 4:

Attendee 5:

Attendee 6:

Attendee 7:

Summary Information:

Check or purchase orders for total amount must be mailed with your school's name in the subject line. Make checks or purchase orders payable to Center for Leadership Development, Inc.

Mail checks to: Center for Leadership Development, Inc. Conference Registration Office 2100 Hillview Dr. Manhattan, KS 66502

Photographs, Publicity and Participant list: Registration for this event gives consent for photographs, publicity and inclusion on the participant list unless the Center for Leadership Development Incorporated is notified in writing prior to the start date. Please write

Please Register those attendees listed above. If you have more than 7 attendees, please submit remaining attendees on a second form.
 Fees will be sent within one week of registering.

Please complete the image verification below before clicking the submit button on this form. This is a precaution against spam being submitted to the form e-mail link.


Partial refunds will be honored before October 1st.

No refunds after October 1st.

Workshops and presenters may change without notice.