L.E.A.D. Group Enrollment Form - Love Progress Park

Love Progress Park

L.E.A.D. Group Enrollment

Location: Based on your preference or proximity to the nearest L.E.A.D. Group

Program Dates: 12 Leadership Practices (September-December)

Grades: 6th-12th

Enrollment: Deadline - August 31, 2024 | L.E.A.D. Groups begin the week of Labor Day

Enroll Today!

Student's Name*
First Last
Student's Email*
Student's Cell*
Contact Parent's Name*
First Last
Contact Parent's Email*
Contact Parent's Cell*
Student's Date of Birth*
Name of Student's School*
Year of Student's Graduation*
Student's Mailing Address*
Street Address Address Line 2 City State ZIP Code
Student's T-Shirt Size (unisex - adult sizes only)*
Lead Group Coach (type n/a if not sure)*

You will be assigned to a Lead Group closest to your address listed above. If you have a Lead Coach preference, please list this information here.
Lead Group Location (type n/a if not sure)*

You will be assigned to a Lead Group closest to your address listed above. If you have a Lead Group location preference, please list this information here.
Payment Options*
- $600 in-full
- $300 in first two months
- $200 in first three months
- $150 in first four months
Today's Total
$0.00