Dilts Strategy Group


GENERATIVE CONSULTING ENROLLMENT FORM

Enrollment is Limited. Register Now for these Unique Learning Opportunities.

Tuition fees are are fully refundable minus a cancellation fee ($250 for Certification, $50 for Lab and Conference).
Accommodation fees cannot be refunded after July 15 but may be transferred to another participant.

Your Name:
Your Name as It Should Appear on Your Certificate:

Your Mailing Address:
Street:
Apt. or Suite:
City:
State/Province:
Postal Code:
Country:

Your Email Address:
Your Telephone Number:

Please let us know your occupation and position:
Please list any SFM™ certification(s) you have received. Include the level, trainer(s), organization and date:
Please let us know how you found out about this program:
If you have a Promo Code, please enter it here:

SFM™ ENROLLMENT OPTIONS

  • SFM™ Generative Consulting Certification - August 6-19
  • Generative Consulting Intensive Lab and IAGC Conference - August 18-24
  • IAGC Conference - August 20-24
    •

    Enrollment Option 1
    SFM™ Generative Consulting Certification

    All Fees are Payable in Full at Time of Enrollment

    Tuition: $5,500
    		 August 6-19 Includes learning materials, intensive lab
    and bonus conference registration
    with IAGC membership
    Accommodations
    Single Room $1,640    		 August 6-18 Single Room and Meals for 13 nights
    Certification Only
    Accommodations
    Single Room $2,270    		 August 6-23 Single Room and Meals for 18 nights
    Certification and Conference
    Accommodations
    Double Room $1,470    		 August 6-18 Double Room and Meals for 13 nights
    Certification Only
    Accommodations
    Double Room $2,035    		 August 6-23 Double Room and Meals for 18 nights
    Certification and Conference

    If Double with whom will you share a bedroom?

    Enrollment Option 2
    Generative Consulting Intensive Lab and IAGC Conference

    All Fees are Payable in Full at Time of Enrollment.

    Tuition: $1,195
    		 August 8-24 Includes learning materials.
    Accommodations
    Single Room $760    		 August 18-23 Single Room and Meals for 6 nights.
    Accommodations
    Double Room $680    		 August 18-23 Double Room and Meals for 6 nights.

    If Double with whom will you share a bedroom?

    Enrollment Option 3
    IAGC Conference Only

    All Fees are Payable in Full at Time of Enrollment.

     Registration: $650 August 20-24 Includes IAGC Conference registration.
    Accommodations
    Single Room $510    		 August 20-23 Single Room and Meals for 4 nights.
    Accommodations
    Double Room $455    		 August 20-23 Double Room and Meals for 4 nights.

    If Double with whom will you share a bedroom?

    Reserve Your Space in the Program with Full Payment.

    Grand Total for all Fees: $

    METHODS OF PAYMENT

    Bank Transfer: Dilts Strategy Group will send a link to an on-line invoice to the Email Address you provided. You may then pay the invoice by direct bank transfer. If you are transferring from a European bank, we prefer that you use TransferWise, an international money transfer service which uses the actual currency exchange rate and charges minimal service fees. Otherwise we will provide instructions for completing the transfer.
    or

    Credit Card: Dilts Strategy Group will forward an on-line payment link to the Email Address you provided. You may then pay your fees by credit card.

    or

    Bank Check in US Dollars: If you do not have a US Checking account, you can request a check in US Dollars from your bank. Please make the check payable to Dilts Strategy Group and then send it to:

    Dilts Strategy Group, 40520 Corte de Rubi, Murrieta, California 92562, USA

    Please submit your completed enrollment form to reserve your place.

    PARTICIPANT INFORMATION

    Please read carefully, answer, and sign.

    Emergency Contact Information: All participants, please provide the names and telephone numbers at work and home for two people that we can be in contact with in case of an emergency:
    1. Name: Work: Home:
    2. Name: Work: Home:

    Medical Contact Information: Are you currently under the care of a health care professional? Yes No
    If so, please provide us with the appropriate name and telephone number:
    Name: Telephone:

    Accessibility: Please let us know if you have any special accessibility needs (e.g. wheelchair ramp, accommodation requirements): Yes No
    If Yes, please explain:

    The participant clearly understands:

  • The education being provided is solely for avocational / recreational purposes and is not intended to provide training for employment. Such education is being pursued for personal entertainment, recreation, individual edification or as a hobby.

  • Smoking and public consumption of alcoholic beverages are strictly forbidden on the University of California campus.

  • Parking on campus is by permit only. Permits are included in accommodation fees. If you stay off campus and bring a car to the conference, you will need to purchase a parking permit from the University of California. Permits will be available at the conference office and the kiosk at the university entrance. For more information: http://taps.ucsc.edu/event-parking/index.html.

  • Participants are expected to behave respectfully and ethically toward fellow participants, Dilts Strategy Group and University of California staff.  Participants who disrupt the educational flow with inappropriate behavior will not be assessed for certification and may be asked to leave the campus.

  • No independent audio or video recording is allowed.

  • Dilts Strategy Group's right to deny entry into a program is reserved.

    • I confirm that I am at least 18 years old and that I have read, clearly understand and agree to the above policies and give consent for my personal information to be used in accordance with the DSG Privacy Policy.

    Date:

    Click here to when done.

    Thank you! We look forward to seeing you this summer.
    If you have any questions, write to us at:
    DiltsStrategyGroup@gmail.com