Registration
Jackrabbit Level UP Training - Orlando
Thursday, May 21st from 9:00 am - 4:00 pm
Cost: $149 per person (lunch included)
Location:
TBA
Important: Please answer ALL questions under Questions/Options.
Please 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. You may leave the gender and birthdate field blank for every attendee.
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
Add New Student #1:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
(format=mm/dd/yyyy)
Individual Email Address:
*
Attending Day 1:
*
Attending Day 2:
*
Add New Student #2:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
(format=mm/dd/yyyy)
Individual Email Address:
*
Attending Day 1:
*
Attending Day 2:
*
Add New Student #3:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
(format=mm/dd/yyyy)
Individual Email Address:
*
Attending Day 1:
*
Attending Day 2:
*
Add New Student #4:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
(format=mm/dd/yyyy)
Individual Email Address:
*
Attending Day 1:
*
Attending Day 2:
*
Add New Student #5:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
(format=mm/dd/yyyy)
Individual Email Address:
*
Attending Day 1:
*
Attending Day 2:
*
Questions/Options:
Organization/ Business Name?
*
Business Type? Indicate primary focus: Dance, Swim, Diving, Cheer, Gymnastics, Music, Performing Arts, Language/Education, Misc Sports (Basketball, etc.).
*
Please list month and year your Organization / Business started using Jackrabbit.
*
What knowledge do you hope to gain from this training?
I have added MYSELF and ALL other attendees as STUDENTS in the STUDENT SECTION. Please confirm the number of attendees (@ $149 per attendee) here.
*
Please enter the name of and provide an individual unique email address for EACH PERSON attending the training (including yourself).
Promotion code (if any)
Additional Information:
$149 Fee per Attendee
(Show-Hide Details)
I understand there is a $149 fee per attendee.
I've read the above and agree.
Payment
(Show-Hide Details)
I understand the total amount due will be processed within 48 business hours.
I've read the above and agree.
Cancellation/Refund Policy
(Show-Hide Details)
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.
Photo/Image/Likeness Release
(Show-Hide Details)
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.
Jackrabbit Database
(Show-Hide Details)
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.
Internet and Laptop Use
(Show-Hide Details)
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:
*
Visa
Mastercard
Amex
Discover
Name as it appears on card:
*
Nickname:
Card Expiration Month:
*
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Exp Year:
*
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Address Line 1:
Address Line 2:
City:
State/Prov:
Postal Code:
*
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