Attendee

2027 Winter Getaway

The information on this form is needed to complete the registration process and may be provided to the hotel, airlines and other vendors in order to make appropriate reservations.

Airlines will deny boarding or charge a name change fee should the name on your airline reservation not exactly match your passport. Please be sure to double check your name on your passport, as well as, the expiration date to ensure you have a flawless travel experience. If you have any questions, please contact Joy Wagnerowski at Summit Planners: 574.968.4301 | Email: ProGrowEvoAg@spmeetings.com

Hotel Information - Secrets Cap Cana

5 - Night Stay: Group Check-in Date 2/8/2027 & Group Check-Out Date 2/13/2027 - Junior Suite Run of House Rooms *All Guests Must Be Over 18 Years Old

Extra nights: The group rate is available 3 days prior and 3 days post the group trip dates (subject to availability). You may request extra nights in the Dominican Republic; however, additional transfer and airline fees may apply depending on what you choose. After receiving your registration, Summit will email pricing for extra nights which must be confirmed via email.

Check-In Date

Check-Out Date

Number of nights

Will you require two beds in your room?

Yes

Are you interested in an upgraded room?

Yes

Upgraded Room Type Request (If Applicable) - Additional cost applies

Please provide additional details here for extra nights/upgraded request (if applicable)

Flight & Transportation Information

Please select your preferred departure city below.

If you would like to fly from a different city not listed...please select "Other" for your departure city and type it into the text box. Summit will research other flights and propose options for you to consider. If the airfare is higher than the group airfare credit, additional fees may apply.

Select your preferred departure city.

Personal Information

(PROVIDE NAME EXACTLY AS PRINTED ON PASSPORT - PASSPORT CARDS ARE NOT PERMITTED)

Passport Reminder: You can register for this trip if you do not currently have a passport. However, if you do not have a valid passport on departure day, the airline will not allow you to board your flight. Passport should be valid for 6 months post travel (earliest expiration is 8/13/2027).
Click here for passport renewal details.

Attendee First Name

Attendee Middle Name

Attendee Last Name

Preferred Badge Name

Month You Were Born

Day of the Month You Were Born

Year You Were Born

Gender (M/F)

Mobile Phone

Email Address

Do you possess a valid passport?

Yes

Passport Expiration Date

Passport Reminder: You can register for this trip if you do not currently have a passport. However, if you do not have a valid passport on departure day, the airline will not allow you to board your flight. Passport should be valid for 6 months post travel (earliest expiration is 08/13/2027).
Click here for passport renewal details.

Attendee Special Accommodations: Either ADA or Dietary

Your Frequent Flyer Airline and Number

KTN (Known Traveler #)

Will you be bringing a guest?

Yes

Guest Information

Guest One Middle Name

Guest One Name Badge

Month Guest Was Born

Day of the Month Guest Was Born

Year Guest Was Born

Guest One Gender (M/F)

Guest One Cell Phone Number

Guest One Email Address

Does your guest have a valid Passport?

Yes

Guest One Passport Expiration Date

Guest Frequent Flyer Airline and Number

Guest One KTN (Known Traveler #)

Packet Shipping Information

Packets will be shipped approximately one month prior to departure via traceable method and will include final flight itinerary.

Mailing Address

City

State

Zip Code

Emergency Contact Information

Indicate an emergency contact who will NOT be traveling with you.

Emergency Contact Name

Emergency Contact Relationship

Emergency Contact Phone

Release of Liability Agreement

Thank you for participating in the 2027 EVOLUTION AG/PRO GROWER Winter Getaway (hereafter “Getaway”). We ask for your understanding and cooperation in maintaining the safety and health of all participants by agreeing to the following:

1. In consideration for being allowed to participate in Getaway events and related travel sponsored by Evolution Ag/Pro Grower, I do hereby waive, release, and forever discharge Evolution Ag/Pro Grower, and its officers, shareholders, agents, employees, representatives, successors, and assigns (“the Released Parties”), from any and all responsibility or liability for injuries, damages, or other losses of any kind sustained on account of, resulting from, or otherwise connected in any way with my participation in any travel, booking, or related activities sponsored, organized, or arranged by Evolution Ag/Pro Grower, including specifically any injuries or damages caused by the omissions of any of the Released Parties or others acting on their behalf.

2. I understand and am aware that both domestic and international travel come with potential hazards and risks, and I am voluntarily participating in Getaway activities with knowledge of the dangers or other risks involved. I agree to participate at my own risk. I agree to comply with all federal, state, and local laws, orders, directives, and guidelines related to the Getaway.

By typing your name in the signature box below, you acknowledge that you have read, understood and voluntarily agree to this Release of Liability Agreement.

Attendee Release of Liability Signature Box

Your guest is required to sign a release of liability as well. Is he or she available to sign now?

If your guest is not present: No problem! You should still register yourself and your guest.
Select "Please send my guest the release in an email" below. After you do, click the blue "Submit" button. You will both be registered and Summit will send a separate email to your guest to review and sign the release of liability.

Is your guest available to sign the Liability Release?

Cancel