Register

October 11-13, 2012

Current Registration – $400. (Register 4 and get a 5th free).

NOTE: Use one registration form per person.

For questions or additional information, contact Wendi Perez at Waterous: 623-889-3614 or wbperez@waterousco.com.
Required fields are bold.

NOTE: Two release forms are required. After submitting your registration form below, please go to the
“Release Forms Page”
under “Registration” in the top menu.

Advanced EVT Supplemental Registration Form

Registration for the 2012 Academy
October 11-13, 2012
Name
Title
Agency
Address
City
State
Zip
Work Phone
Fax
Email
Cell
T-Shirt Size
Tracks
NOTE: Advanced EVT Registrants must also submit the "Advanced EVT Supplemental Registration Form" found in the top menu drop down box under "Register".
Payment Information
Registration Fee: $400 (includes refreshements and lunch)
Credit Card
Name on Card
Card Number
Exp Date
Cancellations must be made in writing and sent to Waterous no less than 30 days prior to Academy Date. 60-30 days prior, 50% refund. Less than 30 days prior, no refund possible.
Hotel - Information can be found in the top menu - "Hotels"

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