Registration

2019 Jackrabbit BOOST East Conference

Monday, March 4 - Wednesday, March 6, 2019
Hilton Charlotte University Place

BONUS Financial Wellness for Business Owners seminar offered on
Sunday, March 3 from 1:00 - 4:00 pm


Classroom style training is three full days.
See online agenda for daily schedule

Conference Fee of $249 per person includes admission to ALL Sessions/Activities .

Important: Answer ALL questions under Questions/Options.


List your organization's main contact in the Contact section and list EVERY ATTENDEE (including yourself) and his/her
individual/unique email address in the Student Section
.



Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Organization Contact
First Name:* Last Name: *
Type*
Home Phone:* Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State/Prov: * Postal Code: *
Organization Name*
 
 
Students entered below will be added to your family's account
 
Questions/Options:
What is your Organization/Business Name?*
If you have a Promo Code please enter it here.
Business Type? Indicate primary focus (choose ONLY ONE from list): Dance, Swim/Diving, Cheer, Gymnastics, Music, Performing Arts, Language/Education, Misc Sports. For Roundtable assignments.*
Do you have an active Jackrabbit account/database?
(This question is intended for new clients. We recommend you have your database setup and have some familiarity with Jackrabbit.)*
If Yes, please list month and year your Organization / Business started using Jackrabbit.
How long have you personally been working with Jackrabbit?
We are considering adding skill-level training to future conferences. Would you consider yourself a Beginner, Intermediate, or Advanced Jackrabbit User based on your current knowledge/use. (Choose 1).*
Primary Attendee First/Last Name (YOU):
Job Title:
Individual Email Address:

2nd Attendee First/Last Name:
Job Title:
Individual Email Address:

3rd Attendee First/Last Name:
Job Title:
Individual Email Address:

4th Attendee First/Last Name:
Job Title:
Individual Email Address:

5th Attendee First/Last Name:
Job Title:
Individual Email Address:

Will you attend the FREE Financial Wellness for Business Owners seminar hosted by Sean Dever on Sunday, March 3 from 1:00 - 4:00 pm. RSVP required. If yes, indicate the Number of Attendees*
Will you attend the FREE Jackrabbit Mix & Mingle Social on Tuesday evening? If yes, indicate the Number of Attendees:*
Confirm Number of Attendees ($249 per Attendee):*
Total Fee (Number of Attendee(s) x $249 =*
 
Additional Information:
 
Fee per Attendee
I understand the fee per attendee (minus any discounts/promotions/ or coupons) is $249.
I've read the above and agree.
 
Payment
I understand the total amount due will be processed within 48 business hours.
I've read the above and agree.
 
Refund/Cancellation Policy
All cancellations and/or request for refunds or credits must be submitted in writing to education@jackrabbittech.com. Full refund or credit towards another training will be given if cancelled at least 30 days before the training. NO refund for No-Shows or if cancelled within 14 days of training.
I've read the above and agree.
 
Jackrabbit Database
I understand that I should have a (free trial or client) Jackrabbit database prior to the training dates.
I've read the above and agree.
 
Photo/Image/Likeness Release
I understand by attending a Jackrabbit sanctioned event, including social times outside of scheduled classroom training, my image and/or likeness may be used in promotional materials.
I've read the above and agree.
 
Internet and Laptop Use
I understand internet access will be provided, but I must bring my own laptop.
I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State/Prov: Postal Code:*