Retreat Registration Form

Event Dates

Complimentary Room Date

Payment Due Date

Registration Manager

Registration Manager Email

Register For:*

Deluxe Individual - ~~$925.00~~ Early Bird: $725.00
Deluxe Couples - ~~$1395.00~~ Early Bird: $1195.00
Standard Individual - ~~$475.00~~ Early Bird: $375.00
A la Carte

# of A la Carte Attendees*

Please enter a number from 1 to 4.

Attendee Information

Attendee #1

Name*

Prefix First Last Suffix

Company / Organization

Leader of Colorado Donor or Higher ($150 or higher)?*

Yes
No

Leader of Colorado Discount Code*

With your code, you will receive 5% off the total of your Retreat Registration costs. If you have not received your code, please call 303.488.0018.

President's Club Level Donor or Higher?*

President's Club Level Donors or Higher receive an additional discount on PLUGin tickets equivalent to $10 off the $75 per ticket price in addition to your 5% off the total registration price.

Yes
No

LPR or RLP Alumni?*

Yes
No

Graduation Year?*

Purchase Plug-In Event Tickets?*

Tickets are $75.00 each

One Ticket
Two Tickets
None

VIP Reception*

Yes $~~350.00~~ Early Bird: $350.00
No

Friday Dinner*

Yes $~~325.00~~ Early Bird: $225.00
No

Saturday Lunch*

Yes $~~250.00~~ Early Bird: $150.00
No

Sessions*

Yes $~~295.00~~ Early Bird: $195.00
No

Attendee #2 Information

Name*

Prefix First Last Suffix

Company / Organization

LPR or RLP Alumni?*

Yes
No

Graduation Year?*

Purchase Plug-In Event Tickets?*

Tickets are $75.00 each

One Ticket
Two Tickets
None

VIP Reception*

Yes $~~350.00~~ Early Bird: $350.00
No

Friday Dinner*

Yes $~~325.00~~ Early Bird: $225.00
No

Saturday Lunch*

Yes $~~250.00~~ Early Bird: $150.00
No

Sessions*

Yes $~~295.00~~ Early Bird: $195.00
No

Attendee #3 Information

Name*

Prefix First Last Suffix

Company / Organization

LPR or RLP Alumni?*

Yes
No

Graduation Year?*

Purchase Plug-In Event Tickets?*

Tickets are $75.00 each

One Ticket
Two Tickets
None

VIP Reception*

Yes $~~350.00~~ Early Bird: $350.00
No

Friday Dinner*

Yes $~~325.00~~ Early Bird: $225.00
No

Saturday Lunch*

Yes $~~250.00~~ Early Bird: $150.00
No

Sessions*

Yes $~~295.00~~ Early Bird: $195.00
No

Attendee #4 Information

Name*

Prefix First Last Suffix

Company / Organization

LPR or RLP Alumni?*

Yes
No

Graduation Year?*

Purchase Plug-In Event Tickets?*

Tickets are $75.00 each

One Ticket
Two Tickets
None

VIP Reception*

Yes $~~350.00~~ Early Bird: $350.00
No

Friday Dinner*

Yes $~~325.00~~ Early Bird: $225.00
No

Saturday Lunch*

Yes $~~250.00~~ Early Bird: $150.00
No

Sessions*

Yes $~~295.00~~ Early Bird: $195.00
No

Attendee Information

Attendee #1

Attendee #2 Information

Attendee #3 Information

Attendee #4 Information

Total Amount

Billing Information

Payment Options