Registration Form

Registration Form

Please fill out the online registration form with your details and we will get in touch with you to confirm your registration and provide further details with regards to venue and course arrangements.

NOTE: Please complete a separate registration form for each course


Company Name (If Applicable)

Company Purchase Order Number(If Applicable)

Attendee 1 Name *

Attendee 1 Email *

Attendee 1 Contact Number *

Attendee 2 Name

Attendee 2 Email

Attendee 2 Contact Number

Attendee 3 Name

Attendee 3 Email

Attendee 3 Contact Number


Format: YYYY-MM-DD

Course Venue

Dietary Requirement

Terms & Conditions:

  1. By booking for this course, an invoice will be generated and you will be liable for the payment of this invoice.  If you require a quote, please contact Leadership Dynamics.
  2. Leadership Dynamics® retains the right in unforeseen circumstances, to change the calendar or venue for a particular course, but will notify registered delegates of any changes.
  3. Tea/coffee and a full lunch is served.
  4. The minimum notification of cancellation is 10 (ten) working days prior to the course commencement date. If you fail to cancel in time, the full course fee remains payable. Replacements for registered delegates can however, be made at any time.
  5. Students are to be at the training venue by 08h30 in preparation for a 09h00 start time.