2023 AMA Leadership Summit: Group Registration

Submit the form with your contact information and that of your attendees. Remember, complimentary registrations (typically used for the chapter president and president-elect) should not be included on this form. A member of the AMA Customer Service team will contact you once we’ve received your request to arrange payment.

Your Name*
First Last
Your Email*
Your Phone*
Name of Chapter*
Attendees*
First Name Last Name Email Phone Dietary Restrictions Accessibility Accommodations Job Title Company First Time Attending?

Personalized verification codes will be sent to these mobile numbers granting access to the event app. . To add multiple attendees, click the “+” on the right-hand side of the row. In the event you are unsure of the answer, please type N/A.
I plan to pay via*
- Check
- Credit Card
- ACH/Wire Transfer
COVID-19 Safety Acknowledgement
COVID-19 Safety Acknowledgement and Self-Certification*
By submitting this form, you confirm to have read and agree to the terms listed in the COVID-19 Safety Acknowledgement on behalf of the registered group.
COVID-19 Safety Acknowledgment —
Liability Waiver and Release of Claims

COVID-19 SAFETY INFORMATION:

While participating in events held or sponsored by the American Marketing Association, (“AMA”), consistent with CDC and WHO guidelines, participants are encouraged to practice hand hygiene, “social distancing”, and wear face coverings to reduce the risks of exposure to COVID-19. Because COVID-19 is extremely contagious and is spread mainly from person-to-person contact, AMA cannot guarantee that its participants, volunteers, partners, or others in attendance will not become infected with COVID-19.

LIABILITY WAIVER AND RELEASE OF CLAIMS:

I acknowledge that I derive personal satisfaction and a benefit by virtue of my participation and/or volunteerism with AMA, and I willingly engage in AMA events and/or other activities (the “Activity”).

I also acknowledge that in a pandemic like COVID-19, public health regulations evolve rapidly. The AMA will do its best to have in place and keep participants apprised of appropriate safety measures, but the ultimate responsibility to keep yourself safe lies with each individual. I promise to follow all health and safety guidelines provided by the venue and AMA.

RELEASE AND WAIVER.

I HEREBY RELEASE, WAIVE AND FOREVER DISCHARGE ANY AND ALL LIABILITY, CLAIMS, AND DEMANDS OF WHATEVER KIND OR NATURE AGAINST THE AMERICAN MARKETING ASSOCIATION AND ITS AFFILIATED PARTNERS AND SPONSORS, INCLUDING IN EACH CASE, WITHOUT LIMITATION, THEIR DIRECTORS, OFFICERS, EMPLOYEES, VOLUNTEERS, AND AGENTS (THE “RELEASED PARTIES”), EITHER IN LAW OR IN EQUITY, TO THE FULLEST EXTENT PERMISSIBLE BY LAW, INCLUDING BUT NOT LIMITED TO DAMAGES OR LOSSES CAUSED BY THE NEGLIGENCE, FAULT OR CONDUCT OF ANY KIND ON THE PART OF THE RELEASED PARTIES, INCLUDING BUT NOT LIMITED TO DEATH, BODILY INJURY, ILLNESS, ECONOMIC LOSS OR OUT OF POCKET EXPENSES, OR LOSS OR DAMAGE TO PROPERTY, WHICH I, MY HEIRS, ASSIGNEES, NEXT OF KIN AND/OR LEGALLY APPOINTED OR DESIGNATED REPRESENTATIVES, MAY HAVE OR WHICH MAY HEREINAFTER ACCRUE ON MY BEHALF, WHICH ARISE OR MAY HEREAFTER ARISE FROM MY PARTICIPATION WITH THE ACTIVITY.

ASSUMPTION OF THE RISK

I acknowledge and understand the following:

Participation includes possible exposure to and illness from infectious diseases including but not limited to COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist;

I knowingly and freely assume all such risks related to illness and infectious diseases, such as COVID-19, even if arising from the negligence or fault of the Released Parties; and

I promise to follow all health and safety guidelines provided by the venue and AMA;

I hereby knowingly assume the risk of injury, harm and loss associated with the Activity, including any injury, harm and loss caused by the negligence, fault or conduct of any kind on the part of the Released Parties.

BY REGISTERING FOR, ATTENDING, OR PARTICIPATING IN THE ACTIVITY, YOU ARE DEEMED TO HAVE GIVEN A FULL RELEASE OF LIABILITY TO THE RELEASED PARTIES TO THE FULLEST EXTENT PERMITTED BY LAW.
Data Sharing
Data Sharing*
By submitting this form, you agree to have attendees’ contact information, including email, passed on to the sponsors of this event for the purpose of following up on interests.

First Name	Last Name	Email	Phone	Dietary Restrictions	Accessibility Accommodations	Job Title	Company	First Time Attending?

COVID-19 Safety Acknowledgement

Data Sharing