Boards That Care Retreat Registration

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The Boards That Care retreat is scheduled for September 9 and 10, 2024, held at Santa Clara University, home of the Markkula Center for Applied Ethics, the largest center for applied ethics in the United States, in partnership with The Patient Revolution, founded and led by Dr. Victor Montori, Professor of Medicine at Mayo Clinic, researcher, and author of “Why We Revolt.”

Payment is due when registering to secure a seat in this limited-participant retreat.

Registrations before July 1, 2024 cost $2,000 per person. Registrations on or after July 1, 2024 will be $2,500 per person. Once paid, registrants can receive a 50% refund if canceled before August 1, 2024.

For questions and inquiries, please contact Thor Wasbotten, managing director of the Markkula Center, at twasbotten@scu.edu with questions about the event.

Company or Organization Name *

Preferred Contact (person filling out this form if not the participant)

Please include name, title, and email.

Retreat Participant #1 - First Name *

Retreat Participant #1 - Last Name *

Retreat Participant #1 - Title *

Retreat Participant #1 - eMail address *

Retreat Participant #1 - Phone *

Retreat Participant #1 - Mailing Address (Street) *

Retreat Participant #1 - Mailing Address (City) *

Retreat Participant #1 - Mailing Address (State) *

Retreat Participant #1 - Mailing Address (Zip code) *

Retreat Participant #1 - Please list any food allergies or dietary restrictions.

Retreat Participant #1 - ADA Accommodation Requests

In compliance with the ADA/504, please direct any accommodation requests here or to Monica DeLong at ethics@scu.edu at least 72 hours prior to your visit to campus.

Would you like to register a second participant from the same organization? *

Yes

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