Leadership Training Institute
REGISTRATION 2003 - 04
Name _________________________________________________
Address ______________________________________________
City ___________________________ State _____________ Zip _________
e-mail address ___________________
Phone _______/________________
(All further communications will be by e-mail.)
Organization (parish, company, etc.) ____________________________________________
Lodging preference: __Single __Double Room-mate _____________________ (you need
to arrange this in advance yourself)
I understand that my participation
is required for the entire lab (no late arrivals or early departures)
In registering please: 1. Indicate the
lab(s) you are registering for and 2. The appropriate payment arrangement
I am registering for:
__Human Interaction (June 03) & Group Development (Oct 03) $750
__Human Interaction Lab (June 03) $500
__ Human Interaction Lab (Oct 03) $500
__ Human Interaction Lab (Jan 04) $500
__Design Skills (June 03) $550 [with prerequisite of HI Lab having
been done with another agency or in another year]
__Group Development (Oct 03) $550 [with prerequisite of HI Lab having
been done with another agency or in another year]
__Consultation Skills (January 04) $650 ( Prerequisite
- Participants must have completed Human Interaction and either Group
Development or Design Skills with LTI or another agency; or have
completed CDI - the Church Development Institute)
__Human Interaction (June 03), Design Skills & Group Development
by the end of 2004 $850
__Human Interaction (October 03), Design Skills & Group
Development by the end of 2004 $850
__Human Interaction (January 04), Design Skills & Group
Development by the end of 2004 $850
Payment Arrangement :(Note: combination
packages must be signed up for in advance. Otherwise costs are by
individual event.) See web page on LTI for information on packages.
Enclose full payment of the fee. Payable to: " Janet Ann Holtz", LTI registrar
Mail registration and check to: Ann Holtz; 6700 Stone Mill Dr; Knoxville, TN 37919
Room & meals costs will be due on
arrival at the beginning of each lab - checks made
out to " Janet Ann Holtz"
[Please add a note to
your registration regarding the required prerequisite training. Where
and when did you complete it? Who was on the training staff?]
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