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Encore Academy Registration
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Encore Academy Registration
Registration for the Encore Academy
Personal Contact Information
Name
Dr.
Miss
Mr.
Mrs.
Ms.
Mx.
Prof.
Rev.
Prefix
First
Last
Preferred Name (for name tag, directory, etc.)
Email Address
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Cell Phone Number
How many years have you lived or worked in Lancaster County?
Additional Information
Which amount would you like to pay to participate?
$625 - Pay It Forward - Help Fund the Experience for Someone Else
$550 - Special Pilot Price
Are you a Leadership Lancaster alumni?
Yes
No
How did you hear about The Encore Academy?
Leadership Lancaster Email
Social Media (Facebook, Instagram, LinkedIn)
Downtowners
Retirement Community
Word of Mouth
Accommodations & Dietary Restrictions
Leadership Lancaster is committed to creating a welcoming and accessible experience for all participants. Please let us know if you have any medical, mobility, accessibility, or dietary needs that staff should be aware of in order to support your full participation. This information will be kept confidential and shared only with staff as needed.