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Your Details

Registration Type*

Couple

Single

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Registration Headcount

Here, we end up with a clean number. This field uses Copy Cat to send the clean number value to other fields.

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Registration Limit*

IMPORTANT: This is the total amount of entries for this form! Set it here, and not in “Form Settings”.

Registration Headcount

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Total Entries Limit

Seminar Workbook*

PLEASE NOTE: A seminar workbook is freely available as part of your event registration. However, we recognize that many repeat attendees of this seminar will already have/use their own workbook. Please specify below if you need a workbook or not. Thank you!

Yes

Number of Workbooks*

Your Name*

First Last

Spouse's Name*

First

Contact Phone*

Email*

Childcare Requested*

Childcare is available for ages 0-11.

Yes

How many children ages 0-5?*

How many children ages 6-11?*

Payment Details

Registration Total

Registration Code

Credit/Debit Card*

Card Details

Cardholder Name

This field is for validation purposes and should be left unchanged.

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Your Details

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