Community Leadership Visit Interest Form

We look forward to the 31st annual Community Leadership Visit in 2025. The trip location and date have not yet been determined. Please complete this form to submit your interest in attending. The completion of this form does not guarantee attendance.

Please watch in the coming months for additional trip information and insights on your form submission.

Fields marked with an * are required.

First Name *

Last Name *

Organization *

Title *

Email *

Cancelation Fee Acknowledgement *

I agree that if selected to participate, I am willing to pay a cancelation fee of 25% of the trip cost if I cancel within 60 days of the trip date, and a 50% cancelation fee within 14 days of the trip date. Any cancelations within three (3) business days are nonrefundable, barring any extenuating circumstances.

Please verify that you have checked the “I'm not a robot” checkbox.