DLE : GEN NOW Attendee Registration
Welcome and thank you for registering for the inaugural DLE: Gen Now -- Success Strategies for Soaring Leadership Retreat on March 24-26, 2017.
Please complete all information requests below
Full Name *
Your answer
Preferred Name *
Your answer
Graduating year
Your answer
Home Mailing Address: street, city, state, zip code *
Your answer
Business Mailing Address: street, city, state, zip code
Your answer
Cell Phone: *
Your answer
Other Phone:
Your answer
Email *
Your answer
Please note that participant bios will be distributed to attendees prior to the conference.
Which of the following will you attend?(Check all that apply.) *
Dietary restrictions *
Payment Authorization Form
Please download the form on the link below and email the completed form to
Maple Chen (mapleshot@gmail.com) to secure spots
Hotel Accommodation
You can book your hotel accommodation at your convenience using the DULYE LEADERSHIP EXPERIENCE reservation site: http://hamptoninn.hilton.com/en/hp/groups/personalized/S/SFYLXHX-DLE-20170324/index.jhtml
Dulye Leadership Experience Photo Release Waiver
I hereby grant the Dulye Leadership Experience permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its communications, publications and publicity, including web-based publications, without payment or other consideration.

I understand and agree that all photos will become the property of the Dulye Leadership Experience and will not be returned.

I hereby irrevocably authorize the Dulye Leadership Experience to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo.

I hereby hold harmless, release, and forever discharge the Dulye Leadership Experience from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

Thank you, again. We look forward to seeing you in the Berkshires.
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