Jon Schallert
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Destination Business BootCamp Registration Form
Destination Business BootCamp Registration Form
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Are you registering for an individual or as a group?
(Required)
Individual
Group
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Which Destination BootCamp class will you be attending?
(Required)
September 18-20, 2024
October 22-24, 2024
Name
(Required)
First
Last
Email
(Required)
Phone
(Required)
Business Name
(Required)
Type of Business
(Required)
Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Are you a previous graduate of the Destination BootCamp program?
Yes
No
Special Admin Code (if applicable)
Would you like to register any of your associates?
Yes
No
Each additional person you register today gets $250 off.
Additional Registrants
Name
Title
Phone
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Destination Business BootCamp
Price:
$1,500.00
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Please register your organization and your business owners who will be attending the Destination BootCamp. Each business listed on this form will receive a 1-on-1, in-person consultation from Jon in your city or town approximately 2-3 months after attending the BootCamp class in Colorado.
Name of Sponsoring Organization/Community
(Required)
Primary Organization Contact Person
(Required)
All communication from our company will be sent to this person
Sponsoring Organization’s Mailing Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
Phone
(Required)
Email
(Required)
Community Coordinator Name
(Required)
Title/Position
(Required)
Is the person above going to serve as the Community Coordinator and attend the Destination BootCamp in Colorado?
(Required)
Yes
No
Organization /Business Name (if different than above)
Coordinator Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Coordinator Phone
Coordinator Email
Registration for the Community Reinvention Program requires a minimum of five (5) unique businesses. Each business can have multiple attendees, but there must be at least five (5) unique businesses entered. Please click the 'Add New Business' button below to add each new business.
Add the names of the business owners who will be attending the Destination BootCamp Class from your community.
Row ID
Name
Business Name
Community Reinvention Program
Actions
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Entries.
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Click the “Add New Business” button above for each new business owner you add.
Community Reinvention Program Total
Price:
$1,850.00
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Total
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How would you like to pay for your registration?
(Required)
Credit Card
ACH
Check
Please click Submit below and then send your check to:
The Schallert Group Inc.
10247 Highland Meadow Circle, Unit 107
Parker, CO 80134
Credit Card