First Name *

Last Name *

Email *

Email (Confirmation) *

Which board do you serve on? *
- Select Option Achieve Charter Academy Arbor Academy Black River Public School Byron Center Charter School Canton Preparatory High School Chandler Woods Charter Academy Cornerstone Jefferson-Douglass Academy Covenant High School Grand Rapids Covenant Schools Detroit Crossroads Charter Academy Detroit Achievement Academy Detroit Enterprise Academy Detroit Merit Charter Academy Detroit Premier Academy Eagle's Nest Academy East Arbor Charter Academy Endeavor Charter Academy Excel Charter Academy Flint Cultural Center Academy Fostering Leadership Academy GEE Compass Academy Gerald Dawkins Academy Global Heights Academy Grand River Academy Grand River Preparatory High School Hanley International Academy Hillsdale Preparatory School Kalamazoo Covenant Academy Knapp Charter Academy Legacy Charter Academy Light of the World Academy Lincoln-King Adams-Young Academy Madison-Carver Academy Martin Luther King Jr. Education Center Academy Metro Charter Academy Michigan Mathematics and Science Academy Muskegon Covenant Academy New Paradigm College Prep New Paradigm Glazer-Loving Academy Oakland Academy Old Mission Peninsula School Paragon Charter Academy PrepNet Virtual Academy PSAD Reach Charter Academy Saginaw Covenant Academy South Canton Scholars Charter Academy Taylor Preparatory High School The Greenspire School Timberland Charter Academy Vanderbilt Charter Academy Vanguard Charter Academy Walker Charter Academy Warrendale Charter Academy Washington-Parks Academy West Michigan Academy of Arts and Academics West Michigan Aviation Academy Westfield Charter Academy William C. Abney Academy Windemere Park Charter Academy Not listed Please specify a value for Which board do you serve on?

Do you have any food allergies or dietary restrictions? *
- Select Option Yes No

Please describe *

OPTIONAL - Will you be joining for a dinner following the retreat (approx. 6:00 p.m. start)? *
- Select Option Yes No

Do you need a room for October 3, 2024, at the Residence Inn Ann Arbor Downtown? *