Technology Leadership Summit Hotel Request Form

District Administration will make the hotel reservation on your behalf and cover 2 nights hotel during the event days. If you would like additional days, you will be required to provide a credit card upon check in. If you need to make any adjustments to your reservation please reach out to us at dasummits@lrp.com or (561) 622-0352. Please do not submit this form twice; if any updates need to be made, please email us.

Name*
Prefix First Last
Email*
School District/Institution*
Which Summit are you attending?*
Do you need a hotel reservation?*
- Yes
- No
What is your check in date?
Date Format: MM slash DD slash YYYY
What is your check out date?
Date Format: MM slash DD slash YYYY
Special Requests*