Leadership Institute

First Name *

Last Name *

Email *

Phone

Graduation Year

By registering for this program, I grant the Leadership Institute the non-exclusive, royalty-free right to use my name, image, likeness, and general background information in connection with my participation in Leadership Institute programs. This permission includes use for educational, marketing, fundraising, and promotional purposes, in both print and digital formats.

By checking "yes," you agree that you are at least 18 years old, and wish to receive recurring automated promotional and personalized marketing text messages from Turning Point USA at the cell number used when signing up.

Msg frequency varies. Consent is not a condition of any purchase. Msg and data rates may apply.

Yes

Shay Khatiri at Paradise Valley Community College

Registration Form