The Network - Organization Registration – Padraig Coaching & Consulting

The Network - Organization Registration

We look forward to welcoming your staff into The Network. This form is to register a group of people from one organization in The Network.

If you wish to register just yourself, please click here.

If you wish to register more than 12 people, please complete this form and hit submit then return to this page to register more.

Organization Coordinator

We will send registration forms for participants, via email, to the person below -- please forward them to the participants in your organization.

Coordinator's Name

First Last

Coordinator's Email*

Enter Email Confirm Email

Coordinator's Phone Number:

Accounts Payable

The invoice for your participants in The Network ($1295 per person plus GST) will be sent to the contact below:

Billing Contact

First Last

Billing Email

Company Billing Address

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

Participants

Please provide first and last name for each participant you wish to register in The Network.

Participant 1

First Last

Participant 1 Email

Participant 2

First Last

Participant 2 Email

Participant 3

First Last

Participant 3 Email

Participant 4

First Last

Participant 4 Email

Participant 5

First Last

Participant 5 Email

Participant 6

First Last

Participant 6 Email

Participant 7

First Last

Participant 7 Email

Participant 8

First Last

Participant 8 Email

Participant 9

First Last

Participant 9 Email

Participant 10

First Last

Participant 10 Email

Participant 11

First Last

Participant 11 Email

Participant 12

First Last

Participant 12 Email

Coached Peer Programs