Boot Camp Registration Form Boot Camp Please fill out a separate form for each participant - thanks.Name* First Last Suffix (DVM, CVT etc)*Email* Best Phone Number*Practice Name*Practice Phone Number*CommentsBoot Camp ChoicesClick here if you are interested in May Anesthesia Boot Camp - Live In Person or Via WebinarPlease choose 1 option:*October 4, 2021 $525/PersonOctober 5, 2021 $525/Person (Prior Attendance to Day 1 is Required)October 4-5, 2021 - Days 1 & 2 Anesthesia Bootcamp $995 (SAVE $55) **October 6-7, 2021 - Pain Management Bootcamp $995 **October 4-7, 2021 - Anesthesia & Pain Management Bootcamps $1890 (SAVE $210) *** REGISTRATION DEADLINE FOR MAY BOOT CAMPS ARE APRIL 1, 2021 ** REGISTRATION DEADLINE FOR OCTOBER BOOT CAMPS ARE SEPTEMBER 1, 2021You will be billed by Peak Performance Veterinary Group via email after submitting your registration form. You can then pay by credit card. You are not fully registered and a place in the course is not reserved until you pay. After payment is received, you will receive a confirmation and welcome email.Notes for the MeetingPlease choose 1 option:*I would like to receive the notes by internet download in advance of the meeting so I can print and review themI would like to receive my notes on a USB /thumb drive on the first day of the meetingI would like to receive my notes both waysCancellation PolicyPeak Performance Veterinary Group reserves the right to cancel any CE program 35 days in advance of the program due to lack of adequate number of registrants. We recommend that you wait until this point before making travel reservations. If we cancel 35 days or greater before the program, registrants can either request a full refund or transfer to a program at a later date. Registrants may cancel 35 days in advance of a program and receive a full refund. Registrants who cancel less than 35 days in advance can transfer their registration fee towards a future CE event but will not be entitled to a refund. This iframe contains the logic required to handle Ajax powered Gravity Forms.