First Name *

Last Name *

Organization *

Role *

Might your organization be interested in participating as an event sponsor? *

Yes, we are interested. Please send additional information about remaining sponsorship opportunities.

No, thank you.

Email *

Address *

Phone *

Do you have any allergies or dietary restrictions we should pass along to the chef? *

The event includes a networking happy hour from 4-5 PM. Will you be interested in staying to participate in that portion of the event? *

Yes

Maybe

How do you take your coffee? *

Caffeinated

Decaffeinated

I prefer tea.

Water only, please!

How did you hear about the Tri-State Leadership Summit? *

Organic Search

Social

Billboard

Email Marketing

Personal Invite

Other

As part of the Tri-State Leadership Summit, we’ll be addressing real-world leadership challenges submitted by attendees. We invite you to share one of the following: A leadership question you'd like insight on, current situation you're navigating, or a recurring leadership theme or challenge within your organization. Note: Submissions will remain anonymous, and your name will not be used in our responses.

Select your ticket type. *

Veteran, Military, or Non-Profit

$249

$179

General Admission

$249

$199

*Payments made through Stripe

Note: There will be no refunds, however tickets are transferable.

I consent to receive Email and SMS notifications, alerts, and occasional marketing communication from Sierra Learnership Collaborative, LLC and Tri-State Leadership Summit. Message frequency varies. Message and data rates apply.

By attending the Tri-State Leadership Summit, you consent to being photographed, filmed, and recorded—and grant the organizers the right to use your likeness in any promotional materials, without compensation. *

I Agree