Being A Leader
Course Registration

We look forward to transforming your leadership!

To participate in this course, please fill out the form below to provide your contact information and complete your payment.

LEADERS: Susan Gauthier & Christina Hutchinson

LOCATION: ZOOM

DATES: Fridays, 9:00 AM – 1:00 PM Central US Time, September 19 – December 12, 2025 (skipping Thanksgiving week)

TUITION: $4,120 (includes +3% for credit card processing) - Early Registration Discount

* Terms & Conditions (this link opens in a new tab)

Participant Information - Being A Leader - Sep to Dec 2025 Early Bird - CH

Registration Form for BAL led by Susan and Christina - Early Bird Registration for Christina

Name(Required)

First Last

Company Name(Required)

Title(Required)

Mobile Phone(Required)

Work Phone

Email(Required)

Enter Email Confirm Email

Company Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Payment

Course Tuition

Price:

Credit Card(Required)

Card Details

Cardholder Name

Date

Once you submit this form, you will be taken to a second page to electronically sign the registration form.

Scroll to the bottom of the page, click on the signature field and enter your signature, then click the Agree & Sign button to complete your registration.

You will be emailed a copy of your payment receipt and a copy the electronically signed form.

Then, your program leader will email you the pre-course readings and assignments, as well as invitations to the Zoom meetings.

BAL Registration Page - CH Early Registration

Mark Kamin & Associates, Inc.

Registration Form

DATE:

COURSE NAME: Being a Leader and the Effective Exercise of Leadership Webinar Program

LOCATION: Zoom

DATES: Fridays, Sep 19 - Dec 12, 2025 skipping Thanksgiving week - 9:00 AM CT - 1:00PM CT

TUITION: $4000

TUITION DUE DATE: Paid in full on or before August 15, 2025

PARTICIPANT INFORMATION

PAYMENT METHOD

CHECK : An invoice will be emailed to you, and please send your payment for delivery by the due date. Mark Kamin & Associates, 4544 Post Oak Place Dr, STE 258, Houston, TX 77027.

ACH BANK TRANSFER : An invoice will be emailed to you with a link to pay online via bank transfer from your company's bank account.

CREDIT CARD : An invoice will be emailed to you with a link to pay online using your company's credit card.

* Fees for electronic payment services may be added by agreement prior to registration.

AGREEMENTS

Cancellations

Your tuition is non-refundable. In the event that an emergency requires Mark Kamin & Associates to reschedule a program to a date on which a Client is unable to attend, the Client will receive a full refund of tuition paid.

Transfers

Your tuition applies to the specific Mark Kamin and Associates program, dates, and location you have chosen. If for some reason you cannot attend the program for which you are registered, you may transfer to other dates or another location within the following guidelines:
(1) You may transfer your tuition to another program date, location, and/or another person. (2) A $100 administrative fee will be applied.
(3) Your request for a transfer must be made no less than 14 days prior to the start date of the program for which you originally registered. (4) Transfers will be granted upon availability. (5) Transfers must occur within six (6) months after the start date of the program for which you originally registered.

Confidentiality/Proprietary Materials Agreement

Client recognizes and acknowledges that in the course and scope of any requested training work (“the Work”) by a Mark Kamin & Associates program leader (“the Consultants”), the Consultants may furnish the Client with reports, analyses or other such materials, or train or expose the Client in or to the Consultants’ techniques, principles, methods, concepts or practices, or expose the Client to work product, confidential, non-public or proprietary information (“Consultants’ Confidential Information”).

Client further acknowledges that the maintenance of the proprietary nature of such information is essential to the business interests of the Consultants.

The Client understands and agrees that the Consultants’ Confidential Information will be furnished solely for direct application to its projects in connection with the Work and may not be used for ANY other purpose or be disclosed, published, quoted, copied, condensed, paraphrased, repackaged, resold or delivered to any other Party without the prior written consent of the Consultants.

The Client agrees that the Consultants’ Confidential Information is owned or licensed by the Consultants and no license or other rights thereto has been granted to the Client, and the Client agrees not to deliver, use, or apply the Consultants’ Confidential Information independent of the Consultants.

It is further understood that this material is confidential and should not be used for any purpose other than as intended and expressly designated by the Consultants.

Limited Liability

With regard to the services to be performed by the Consultants pursuant to the terms of this Agreement, the Consultants shall not be liable to the Client, or to anyone who may claim any right due to his relationship with the Client, for any acts or omissions in the performance of said services on the part of the Consultants or on the part of the agents or employees of the Consultants, except when said acts or omissions of the Consultants are due to their willful misconduct or culpable negligence. The Client shall hold the Consultants free and harmless from any obligations, costs, claims, judgments, attorney's fees, and attachments arising from or growing out of the services rendered to the Client pursuant to terms of this Agreement or in any way connected with the rendering of said services, except when the same shall arise due to the willful misconduct or culpable negligence of the Consultants or its agents, representatives or employees who are adjudged to be guilty of willful misconduct or culpable negligence by a court of competent jurisdiction.

Arbitration

As concluded by the parties hereto as evidenced by the signatures of the parties, any controversy between the parties hereto involving the construction or application of any of the terms, covenants, or conditions of this Agreement (but not the cost of services), shall on the written request of one party served upon the other, be submitted to arbitration, and such arbitration shall comply with and be governed by the provisions of the Texas General Arbitration Act, Articles 224 through 238-6 of the Revised Civil Statutes of Texas as revised.

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Draw Signature
Type In Signature

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Adopt & Sign

Timestamp

Audit

May 21, 2025 7:19 pm CDT

BAL Registration Page - CH Early Registration Uploaded by Carla Everett - c.everett@mka-world.com IP 216.215.76.18

May 21, 2025 8:39 pm CDT

Christina Hutchinson - c.hutchinson@mka-world.com added by Carla Everett - c.everett@mka-world.com as a CC'd Recipient Ip: 216.215.76.18