Registration for IMA Texas Council Weekend, August 18-19, 2017


* First Name:  

* Last Name:  

* Email Address:  

Phone:  

IMA Membership #  

Attendee Status:  

How did you hear about our events?  

Select all you plan to attend:

  Friday Dinner
  CPE Session 7:30 AM
  Texas Council Meeting 9:30 AM
  Saturday Lunch
  Afternoon Activities
  Saturday Dinner

The date/time of your reservation is:  

By submitting this form, I am confirming my reservation for these events. After you submit your reservation, you will be taken to the online registration confirmation page.

Liability Waiver: I agree and acknowledge that I am undertaking participation in IMA® events and activities on my own free will and intentional act, and I am fully aware that possible physical injury might occur to me as a result of my participation in these events. I give this acknowledgement freely and knowingly and that I am able to participate in IMA® events, and I do hereby assume responsibility for my own well-being.

Photography: I agree and acknowledge that there may be photographs and / or video taken at this Texas Council of IMA event for reproduction in educational, news, or future promotional material, whether in print, electronic, or other media, including, but not limited to, the Texas Council of IMA website. By participating in this Texas Council of IMA event, I grant the right to use my name and image for such purposes.

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Question regarding online registration



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