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Nashville, Tennessee
May 3-6, 2021
$6,997 Per Participant
Spouse Add-On
You may add your Spouse to your registration for an additional cost of $997.00.
Includes meals and excursions only.
Participant Information
Legal First Name
*
Middle Name
Legal Last Name
*
Date of Birth (MM/DD/YYYY)
*
Gender
*
Male
Female
Contact Information
Email Address
*
Phone Number
*
Mailing Address
Address
*
City
*
State
*
Zip Code
*
Country
*
Emergency Contact Information
Emergency Contact Name
*
Emergency Contact Phone
*
Spouse Add-On
If you would like to add your Spouse to your registration for an additional cost of $997.00, please select 'Yes' below. Includes meals and excursions only.
Would you like to add your Spouse to your registration?
Yes, I would like to add my Spouse to my registration.
No, I will NOT be adding my Spouse to my registration.
Spouse Information
Legal First Name
*
Middle Name
Legal Last Name
*
Date of Birth (MM/DD/YYYY)
*
Gender
*
Male
Female
Contact Information
Email Address
*
Phone Number
*
Waivers & Policies
Liability Waiver Agreement
*
With regards to the Zenith Mastermind Retreat (May 3-6, 2021) (the “Trip”), I agree, by the execution of this Waiver & Release, that Zenith Mastermind and Destinations (our travel partner) shall not be liable for any injuries, accidents, or damages involving myself OR my guest on the Trip resulting from or, in anyway, related to, directly or indirectly, the Trip. I assume full responsibility for any injuries, accidents, or damages involving myself or guest that may occur during the Trip or are related to, in any way, directly or indirectly, the Trip.
Cancellation Policy Agreement
*
I understand the Zenith Mastermind Retreat is non-refundable. In the event that travel is impossible, I understand that attempts will be made to postpone the event. I understand that if it is not possible to postpone the event, I will receive a full refund.