Registration for IUL Declassified February 19 – 21, 2020 CreativeOne11460 Tomahawk Creek ParkwayLeawood, Kansas 66211United States [email protected]1-800-992-2642 Event ID 2663 IUL's Declassified Date(s)02/19-02/21 Step 1 of 3 33% Email:* Name: First Last Name As It Would Appear On Badge: Company Name: Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Office Phone:*Cell Phone:* Additional Information:Emergency Contact Name:* First Last Emergency Phone:*What is your T-Shirt size?unisex sizingMLXLXXLDo you have any medically necessary food allergies? Travel & Lodging Details:YOU ARE RESPONSIBLE FOR THE COST OF AIR INTO KANSAS CITY AS WELL AS A ONE WAY TRANSFER ON FEBRUARY 19. YOU ARE MORE THAN WELCOME TO USE OUR DEDICATED TRAVEL PARTNER, DIRECT TRAVEL, TO SCHEDULE YOUR FLIGHT. IF YOU WOULD LIKE TO USE THEIR SERVICES, MAKE THE APPROPRIATE SELECTION BELOW AND FILL OUT YOUR TRAVEL INFORMATION. ONCE YOU SUBMIT YOUR REGISTRATION FORM, YOU WILL BE CONTACTED VIA EMAIL WITH A FLIGHT ITINERARY CONTAINING THE BEST AVAILABLE SCHEDULE AND FARE FROM THE CLOSEST MAJOR AIRPORT. PLEASE CONFIRM YOUR SCHEDULE WITHIN 24 HOURS OF HAVING BEEN CONTACTED BY DIRECT TRAVEL BY EITHER RESPONDING TO THE EMAIL OR PLACING A CALL TO THEM. YOU WILL PAY THEM DIRECTLY FOR THE COST OF YOUR FLIGHT. IF YOU CHOOSE TO BOOK A FLIGHT ON YOUR OWN PLEASE USE THE FOLLOWING GUIDELINES: --> YOU WILL BE FLYING INTO KANSAS CITY AIRPORT (MCI). --> PLAN TO ARRIVE BY 4:00 PM ON 02/19 TO ALLOW TRANSFER TIME TO THE HOTEL PRIOR TO THE WELCOME EVENT. --> YOU SHOULD NOT DEPART UNTIL 3:00 PM OR AFTER ON THE 21ST --> THE HOST PROPERTY IS APPROX. 45 MINUTES FROM THE AIRPORT. YOU MAY CHOOSE TO UBER OR BOOK GROUP/PRIVATE TRANSPORTATION. OUR PREFERED VENDOR HAS SEVERAL OPTIONS TO CONSIDER. YOU MAY CONTACT THEM AT 816-471-1234 OR CHECK OUT THEIR OPTIONS AT KCTG ***At the close of the event, CreativeOne will provide a group transfer from CreativeOne to the Kansas City Airport (MCI) on February 21st at 1:00 p.m.***Will you be driving or flying?*DrivingFlying - book my own airfareFlying - use direct travelName as it appears on Driver's License:* First Middle Last Date of Birth:* MM slash DD slash YYYY (Required for air reservations)Gender:*MaleFemalePlease enter your desired departure city OR the airport code:* TSA Pre-check # (if applicable): Seat Preference:*AisleCenterWindowLodging - Do you need a hotel?* Yes, please reserve my rooms for program dates 02/19 - 02/21 Yes,please reserve my rooms outside program dates. No, I do not need a hotel. Attendees will stay at the Sheraton Overland Park Hotel in Overland Park, Kansas. When you register for the event, a room reservation will be made in your name at the Sheraton Overland Park for February 19-21, 2020 (Unless you indicated you won’t need a room in your reservation). Please DO NOT contact the hotel for reservations as they will be made by CreativeOne. For more information on this hotel, go to their website.What is your arrival date?* MM slash DD slash YYYY What is your departure date?* MM slash DD slash YYYY Please share any special travel needs: Terms and Conditions* Do you agree to the terms and conditions? ASSUMPTION OF RISK With your submission of this registration for your CreativeOne Agent event, you will be accepting the risks involved with this event. These risks may include, but are not limited to: acts of God; terrorism; use of roads, vehicles, accident or illness, or consumption of alcohol by you or others. You agree to be responsible for your own welfare, and accept any and all risks of unanticipated events, illness, injury or death. We expect all guests to exemplify our high ethics, standards and professional code of conduct with which our company prides itself. Any issues brought to our attention that are not reflective of this will be handled on a case-by-case basis and when applicable, at the expense of the offender. RELEASE For being permitted to participate in the Program, you hereby Release and discharge CreativeOne, Conference Event Management, Direct Travel, their employees, agents, and others assisting or otherwise affiliated with the program from any claims, damages, and liability of any kind associated with your participation in the program except liability for those willful or malicious acts by the sponsors. The sponsors shall have no responsibility for any injuries, losses, or damages of any kind resulting from your participation in the program and the sponsors shall be held harmless against any claims of liability arising directly or indirectly from your participation in the program or any injury, accident, illness, or damages (including death). By Registering you are authorizing CreativeOne and its designees the right to use your name, likeness, image, voice, appearance, and performance as embodied in the Product whether recorded on or transferred to videotape, film, slides, photographs, audio tapes, or other media, now known or later developed. By submitting your registration, we understand that you have read and fully understand this agreement and its ramifications. You understand this is an enforceable contract. Your reply is at your own free will. If you have any questions about this agreement or the program, you have asked them and you have been provided with information which was to your satisfaction.