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In-Person Training 2025 Open (Jarnagin)
Bostik Academy - 27460 Bostik Court, Temecula, CA
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1.
First Name
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2.
Last Name
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3.
Title
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4.
Company
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5.
Email
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6.
Cell Phone #
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7.
Emergency Contact Name & Cell Phone #
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8.
Which Month Would You Like to Attend Training? (Select one.)
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August 20-21
September 24-25
Other (please specify)
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9.
Will you be needing a hotel room? (Select all that apply.)
(Required.)
Yes, I will need a hotel room the night before the first day of training
Yes, I will need a hotel room the night after the first day of training
No, I will not need a hotel room
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10.
Will you be joining us for dinner? (Select all that apply.)
(Required.)
Yes, I will join you for dinner, the evening after the first day of training
No, I will not join you for dinner
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11.
Dietary Restrictions (Select all that apply.)
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I do not have any dietary restrictions
Vegetarian
Vegan
Lactose Intolerant
Gluten Free
No Shellfish
No Nuts
Other (please specify)
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12.
Do you consent and authorize Bostik to use your likeness in any photograph, video, or other digital media taken during this event?
(Required.)
Yes, I consent and authorize Bostik to use my likeness in any photo, video, or other digital media
No, I do not consent and authorize Bostik to use my likeness in any photo, video, or other digital media
13.
Comments
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