Event Registration Form

How are you taking training?

Event Information

See our complete list of event dates and locations at vitalsmarts.com/events/

Completion of this form does not guarantee a spot in a course. After you have submitted this form a member of event operations will process your registration and send a confirmation email. If you do not receive a confirmation within 2 business days please email publictrainingsupport@vitalsmarts.com.

Course Topic*

Course Type*

When did you take the required workshop?*

You must have attended the required workshop before you may attend the certification course.

Workshop Start Date*

Certification Start Date*

Event Location

Do you have a VitalSmarts contact?*

Participant Information

Name*

First Last

Enter name as you wish it to appear on the certificate of completion.

Email*

CC Email

Phone*

Work Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Can we ship certification materials to your work address?*

Yes
No

For certification you will receive physical materials required for the course. Please let us know if we can ship these materials to your work address.

Shipping Address for certification materials

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Job Title*

Company*

Dietary Restrictions*

Allergy Restriction

Do you have any special needs?

What is the main reason for attending this training event?

Payment Information

How will you pay?*

Credit Card
Purchase Order

Invoice and payment details are provided in your confirmation email.

TOTAL Workshop Price*

If unsure please contact your Client Advisor,

TOTAL Certification Price*

If unsure please contact your Client Advisor,

TOTAL FasTrack Price*

If unsure please contact your Client Advisor,

Discount Code

Examples: Toolkit Promotion, Industry Discount, Group Discount

Can we contact you for payment information?*

Yes
No

Please provide purchasing information if it is different than you.

Purchasing Name*

First Last

Purchasing Email*

Purchasing Phone*

Purchasing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Terms & Conditions*

I agree to the terms & conditions.

Terms and Conditions.

Ownership of Live Online (Virtual, Instructor-Led) Content

As a participant in VitalSmarts’ Live Online event, you agree VitalSmarts owns all content, including the course itself, online tools, and all other materials relating to the Live Online event. VitalSmarts owns all copyrights, trademarks, and related common law rights to all programs, materials, and content. You agree no VitalSmarts content or materials may be copied, reproduced, recorded, modified, sold, transferred, translated or otherwise exploited, in whole or in part, for any purpose. You may retain the virtual materials associated with the Live Online event you attended for your own personal education. You may not share your login credentials. VitalSmarts has the right to revoke, without notice, all access to its online content and to all materials. By clicking below you agree that you have read and understand these Live Online

What If I Need to Cancel?

· If you are not able to attend your Live Online event, you must notify the VitalSmarts Event Manager in writing (email is acceptable) or through the link provided in your confirmation email.
· VitalSmarts will refund your registration payment less:
o a $150 administrative fee if you cancel with more than 5 business days’ notice;
o a $300 administrative fee if you cancel with 5 or fewer business days’ notice.
· Please allow up to a week for VitalSmarts to process a refund.
· The administrative fee will be waived if you transfer your registration to another Live Online course (first time only). Subsequent transfers will incur an administrative fee that corresponds with the amount of notice given.
· You will not be charged an administrative fee if you provide a substitute to replace you in a Live Online event with prior written approval of the VitalSmarts Event Manager and provided notice is given more than 5 business days before the event. Your registration payment will be applied in full to the substitute’s Live Online event.
· No substitutions are allowed 5 or fewer business days before the event.
· Once the Live Online event has started, there are no refunds and you may not cancel or transfer. Even if you do not attend, or do not attend the course in its entirety, your entire registration payment will be earned by VitalSmarts.

VitalSmarts Privacy Policy

*Getting Things Done - Virtual Class User Agreement: By being a user of VitalSmarts’ (“VS”) Virtual Classroom, you agree VS and David Allen Company (“DAC”) own all content, the course itself, online content, and all other materials, relating to Getting Things Done®. VS and DAC own all copyrights, trademarks and related common law rights to all materials and content. You agree no VS or DAC content or materials may be copied, reproduced, recorded, modified, sold, transferred, translated or otherwise exploited, in whole or in part, for any purpose other than your own personal education for the course you signed up for. VS and DAC have the right to revoke, without notice, all access to its online content and to all materials. By clicking the checkbox you agree that you have read and understand this agreement.

Terms & Conditions*

I agree to the terms & conditions.

What If I Need to Cancel?
· If you are not able to attend your Live Online event, you must notify the VitalSmarts Event Manager in writing (email is acceptable) or through the link provided in your confirmation email.
· VitalSmarts will refund your registration payment less:
o a $150 administrative fee if you cancel with more than 5 business days’ notice;
o a $300 administrative fee if you cancel with 5 or fewer business days’ notice.
· Please allow up to a week for VitalSmarts to process a refund.
· The administrative fee will be waived if you transfer your registration to another Live Online course (first time only). Subsequent transfers will incur an administrative fee that corresponds with the amount of notice given.
· You will not be charged an administrative fee if you provide a substitute to replace you in a Live Online event with prior written approval of the VitalSmarts Event Manager and provided notice is given more than 5 business days before the event. Your registration payment will be applied in full to the substitute’s Live Online event.
· No substitutions are allowed 5 or fewer business days before the event.
· Once the Live Online event has started, there are no refunds and you may not cancel or transfer. Even if you do not attend, or do not attend the course in its entirety, your entire registration payment will be earned by VitalSmarts.

VitalSmarts Privacy Policy

Name

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

Live Online Training Registration

Event Information

Participant Information

Payment Information

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