2025 LifeWise Summit Registration
Registrant Details
I am registering for
Please select...
Myself
Someone Else
Please answer the following questions as the person you are registering for and
use LifeWise email addresses where possible
.
First Name
Last Name
Email
Street Address
City
State
Zip
Mobile Phone
T Shirt Size
Please select...
X Small
Small
Medium
Large
X Large
2X Large
3X Large
4X Large
Event Details
Will 2025 be your first year attending Summit?
Yes
No
I am registering as a
Please select...
Program Director
Teacher
Board Member
Volunteer
Support Center Staff
Other
Have you served as a LifeWise program director for less than one year?
Yes
No
Please select your classroom level
Elementary Teacher
Secondary Teacher
Have you served as a LifeWise teacher for less than one year?
Yes
No
Please specify your position within your program:
LifeWise Program
I can't find my program
Type your program name here
Dietary restrictions will be accommodated as safely as possible for an event of this size. If your needs go beyond the listed options below, please bring your own food or snacks for your safety.
Dietary Restrictions
Please select...
None
Gluten Free
Vegetarian
Payment not required at this time:
The $75 registration fee will be withdrawn from your program fund upon registration.
Summit Information