Registration

2019 Jackrabbit BOOST West Conference

Monday, November 18 - Wednesday, November 20, 2019
The Linq Hotel & Casino

BONUS Financial Wellness for Business Owners seminar offered on
Sunday, November 17 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: *
	Home Phone:	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State/Prov: * Postal Code: *

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, November 17 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

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