Community Foundation Boot Camp Registration

October 14 & 15

Kanuga Conference Center

Meals & Reception Included

Registrant Information

Full Name

First NameLast Name

Preferred Name

Preferred Pronouns

Organization

Email

example@example.com

Personal Phone Number (only to be used in case of emergency)

Format: (000) 000-0000.

Dietary Restrictions

Known Allergies (food and other)

Accommodation Requests

Emergency Contact Name

First NameLast Name

Emergency Contact Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Attendance & Payment

Commuter Attendance Price: $825* | On-Site Attendance Price: $1350*

*A Service Charge Fee will be applied for credit card transactions at checkout

Are you Commuting or will you be staying On-Site?

Room Occupancy

Please Note: Registration does NOT include a room for the evening of October 15th. If you need accommodation for that night, please reach out to Community Foundation of Henderson County so we can coordinate with Kanuga on the possibility of reserving a room.

info@cfhcforever.org | (828) 697-6224

How would you like to pay?

Credit Card Payments (for all other forms of payment, request an invoice below)

On-Site Attendance

$1350 + $40 Credit Card Service Charge

$1,390.00 Quantity

Commuter Attendance

$825 + $25 Credit Card Service Charge

$850.00 Quantity

Total

Debit or Credit Card
Credit Card Number	Security Code
Expiration Month	Expiration Year

If you would like to pay later or by other means, please select a box below to receive an invoice for your preferred attendance

PHOTO USAGE

By registering for this event I hereby grant permission to Community Foundation of Henderson County to use photographs and/or video of me for publications, news releases, online, and in other communications related to the mission of Community Foundation of Henderson County. If you would like to opt out, please check the box below.

PARTNERS