Registration

EMPLOYEE INFORMATION

Full Legal Name (as it appears on your driver’s license):

Preferred First Name for your Name Badge:

Gender FemaleMale

Date of Birth:

Mobile Phone Number:

Your email

TRAVEL INFORMATION

Please indicate if you prefer to fly or drive.FlyDrive

All out-of-town attendees who request air travel will be ticketed from home cities to DFW Airport on the evening of Friday, February 2. Return flights from DFW to home cities will be arranged on Saturday, February 3 after the meeting concludes. Round trip transportation between DFW Airport and the Westin DFW Hotel will be provided. Information about airport transfers will be emailed to you approximately one week before the meeting.

Preferred home city airport:

Preferred seat assignment: WindowAisle

Seat assignments are not guaranteed, but we will do our best to accommodate your request.

If you have a frequent flier number, a known traveler number, or if you have any special travel requests, please indicate here:

HOTEL INFORMATION

All out-of-town guests will have hotel rooms. Your room at the Westin DFW Hotel will have two queen size beds and you will be sharing your room with another Rasa Floors employee. If you and another employee prefer to share together, please indicate your roommate request below. Please make sure your prospective roommate has also selected you.

Will you need a room at the hotel? YesNo

Do you have a roommate preference? Indicate name here:

EMERGENCY CONTACT INFORMATION

In case of emergency name of person to contact:

Phone Number:

Relationship to You:

SPECIAL REQUESTS

Do you have any special physical or dietary requests, or any other special needs? If so, please indicate here: