If you have multiple children to register, please fill out a separate form for each student.
There are 2 session options for the Estuary Emerging Leaders program. Please select the session for which you wish to register. (Note: the material covered is the same in each session).
Cost: 5-day Emerging Leaders Program registration $225
*Note: Please use the contact form at estuaryleadership.com to touch base if you think you may meet family income requirements for a full scholarship to the Estuary Emerging Leaders Program.
Payment us due in full at the time of registration. Refunds must be requested at least 3 business days prior to the start date for each program; once program is underway no refunds will be made.
Consent Form (must be signed by parent or legal guardian)
As the parent or legal guardian of the student registrant noted on this form, I certify that I am over the age of 18, and acknowledge that I give permission for the registrant to participate in the Estuary Emerging Leaders program using a password-protected online platform. I understand that access to technology and an internet connection for the purpose of accessing this program is the responsibility of the registrant. I understand that the sharing, replicating, or selling of any/all copyrighted material developed and delivered by Certified Life Coach Marybeth Cale, Founder of Estuary Leadership, is prohibited by law. I understand that Marybeth Cale, Estuary Leadership, and affiliates will not be held responsible for any decisions or actions taken by participants, or the resulting consequences of those choices. I understand that attendance in all 5 segments of each Emerging Leaders Program session is the responsibility of the named student participant, and that no refunds will be granted for those students who choose not to attend all 5 days of the program for which they are registered.
I hereby employ Marybeth Cale, Estuary Leadership, as the registering student’s “coach” for the purpose of supporting the development of leadership skills. I understand and agree that Maybeth Cale is not functioning as an “employment agent”, “business manager”, “financial analyst” or “psychotherapist” and that she has not promised, shall not be obligated to, and will not: (1) procure or attempt to procure any employment, business, leadership positions, volunteer roles, or sales (2) will not act as a psychotherapist or mental health counselor by providing psychological evaluations or diagnoses or applying for or accepting any payments from insurance companies (3) will only provide services during the sessions unless hired under a separate agreement.
I grant Marybeth Cale permission to provide leadership training through the Estuary Emerging Leaders program as noted to the participating student, and further grant Estuary Leadership and Marybeth Cale the right to request testimonials for the Estuary Leadership website, marketing materials, and social media channels. I understand that Estuary Leadership may send marketing messages to my email address but that my email information will not be shared with any other businesses. I acknowledge that payment must be made in full in order to receive access to the leadership program.
Thank you for registering!