Print this registration form and mail to our offices with payment:

The JGR Group, LLC

4760 Preston Rd. #244-240 Frisco, Texas 75034 

Groups Name______________________________ Number of participants____

Contact's Name______________________________

Email _________________________________________________________

Desired Workshop or Program: ____________________________________

Responsible billing party_______________________________________

Billing Address,_________________________________ State_____________

Zip___________Daytime Phone_______________Evening #__________

Emergency#____________________________/Cell#_________________________

All equipment & supplies are provided by JGR Group.  Please make checks payable to JGR Group, LLC and mail with completed form to address above.

call 972-624-1436 if you have any questions.

**Any FOOD Allergies? ______________________________________________

Photo Release: I give JGR Group, LLC permission to publish in print or video format the likeness of myself / my child.  I release all claims against the JGR Group, LLC with respect to copyright ownership and publication including any claim for compensation related to use of the materials.

 Print legal name: ________________________________________________

Signature: _______________________________________Date: ____________

Method of Payment:

Check# _________ (Payable to JGR Group, LLC )

Driver’s License number if writing personal check _____________________

Credit Card Type________Card#_____________________________________Expires____

Amount Paid ____________________

Name on Card ________________________________Signature__________________________

Questions or assistance please call: 972-624-1436.  Thank you for intrusting your most precious gifts with us!

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What do you hope to get from this training?