U THE LEADER ENROLLMENT FORMPrefix*Ms.Mr.Name* First Last Confirm Class Dates:*April 30-May 2, 2021August 6-8, 2021October 1-3, 2021December 3-5, 2021Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Mobile Phone*Email* Job Title*Company Name*Emergency Contact Name*Emergency Contact Phone*Emergency Contact Email* Other U & Improved Classes Completed:U the CommunicatorNoneWho referred you to U & Improved?*Refunds & Rescheduling Policy*I have read and agree to the terms of the Refunds & Rescheduling Policy.Refunds: We do not issue refunds. Please notify us within 14 business days if you need to reschedule your class date to avoid a rescheduling fee. Rescheduling: All classes are subject to a rescheduling fee of up to $350. To avoid the fee, please notify us within 14 business days of the class start date that you need to reschedule.