Please complete the following and submit by Tuesday, November 14, 2017. While entering data, please do not use the ENTER or RETURN keys to avoid sending the form before you are finished. Please use the TAB key to proceed from field to field.

First Name (required)

Last Name (required)

Alumni Year (required)

Your Email (required)

Please check off the events you plan to attend:






For more information regarding the Alumni activities, please contact us at info@leadershipcanada.ca